SEC Form 4
| FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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| Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol Skyline Champion Corp [ SKY ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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| 3. Date of Earliest Transaction (Month/Day/Year) 12/05/2018 | ||||||||||||||||||||||||||
| 4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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| 1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
| Code | V | Amount | (A) or (D) | Price | ||||||
| Common Stock | 12/05/2018 | S | 191,195 | D | $21.8 | 3,486,766 | I | See footnotes(1)(3)(5) | ||
| Common Stock | 12/05/2018 | S | 71,305 | D | $21.8 | 1,300,365 | I | See footnotes(2)(4)(5) | ||
| Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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| 1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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| Explanation of Responses: |
| 1. Sankaty Champion Holdings, LLC ("SCH") is the record owner of these shares of Common Stock. |
| 2. Sankaty Credit Opportunities IV, L.P. ("SCO IV") is the record owner of these shares of Common Stock. . |
| 3. Bain Capital Credit Member, LLC ("BCCM") is the manager of SCH and, by virtue of its relationship to SCH, may be deemed to indirectly beneficially own (within the meaning of Rule 13d-3 under the Securities Exchange Act of 1934, as amended (the "Act")) the shares of Common Stock of which SCH is the record owner. BCCM disclaims beneficial ownership of the shares of Common Stock of which SCH is the record owner, except to the extent of its pecuniary interest therein. |
| 4. Sankaty Credit Opportunities Investors IV, LLC ("SCOI IV") is the sole general partner of SCO IV and may be deemed to indirectly beneficially own (within the meaning of Rule 13d-3 under the Act) the shares of Common Stock of which SCO IV is the record owner. BCCM is the managing member of SCOI IV and may be deemed to indirectly beneficially own (within the meaning of Rule 13d-3 under the Act) the shares of Common Stock which SCOI IV may be deemed to indirectly beneficial own. Each of BCCM and SCOI IV disclaims beneficial ownership of the shares of which SCO IV is the record owner, except to the extent of their respective pecuniary interest therein. |
| 5. Each of BCCM, SCH, SCO IV and SCOI IV may be deemed to be a member of a "group" (within the meaning of Rule 13d-5 under the Act) whose members in the aggregate beneficially own more than 10% of the outstanding shares of the Issuer's Common Stock. However, each of BCCM, SCH, SCO IV and SCOI IV disclaim membership in any such group. |
| Bain Capital Credit Member, LLC, by /s/ Andrew S. Viens, Executive Vice President | 12/07/2018 | |
| Sankaty Champion Holdings, LLC, by Bain Capital Credit Member, LLC, its manager, by /s/ Andrew S. Viens, Executive Vice President | 12/07/2018 | |
| Sankaty Credit Opportunities Investors IV, LLC, by Bain Capital Credit Member, LLC, its managing member, by /s/ Andrew S. Viens, Executive Vice President | 12/07/2018 | |
| Sankaty Credit Opportunities IV, L.P., by Sankaty Credit Opportunities Investors IV, LLC, its general partner, by Bain Capital Credit Member, LLC, its managing member, by /s/ Andrew S. Viens, Executive Vice President | 12/07/2018 | |
| ** Signature of Reporting Person | Date | |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
| * If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
| ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. | ||