UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
|
| ||||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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 control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
(1) | Â (1) | Â (1) | (1) | (1) | $ (1) | D (1) | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ORIX HLHZ Holding LLC 1717 MAIN STREET, SUITE 900 DALLAS, TX 75201 |
 |  X |  |  |
ORIX CORP WORLD TRADE CENTER BLDG. 2-4-1 HAMAMATSU-CHO, MINATO-KU TOKYO, M0 105 6135 |
 |  X |  |  |
ORIX HLHZ Holding LLC, By: ORIX Capital Markets, LLC, its managing member, By: /s/ Paul Wilson, Chief Financial Officer | 08/12/2015 | |
**Signature of Reporting Person | Date | |
ORIX Corporation, By: /s/ Hideto Nishitani, Executive Officer | 08/12/2015 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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). |
(1) | Remarks: No securities of the Issuer are beneficially owned. In connection with a corporate reorganization that will occur on the closing date of the Issuer's initial public offering, the Issuer will issue securities to the reporting persons in exchange for their securities in predecessor entities, which will be reported on a Form 4 following the closing of the offering. |