SEC FORM
4
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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OMB APPROVAL |
OMB Number: |
3235-0287 |
Estimated average burden |
hours per response: |
0.5 |
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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*
233 WILSHIRE BLVD., SUITE 800 |
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(Street)
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2. Issuer Name and Ticker or Trading Symbol
Smart Sand, Inc.
[ SND ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
X |
10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year) 06/17/2022
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock, par value $0.001 per share |
06/17/2022 |
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S |
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2,552,462 |
D
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$3.1756
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8,200,204 |
I |
See footnotes
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Common Stock, par value $0.001 per share |
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47,703 |
I |
See footnote
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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)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
1. Name and Address of Reporting Person*
233 WILSHIRE BLVD., SUITE 800 |
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(Street)
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1. Name and Address of Reporting Person*
233 WILSHIRE BLVD., SUITE 800 |
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(Street)
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1. Name and Address of Reporting Person*
C/O CLEARLAKE CAPITAL GROUP, L.P. |
233 WILSHIRE BLVD., SUITE 800 |
(Street)
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1. Name and Address of Reporting Person*
C/O CLEARLAKE CAPITAL GROUP, L.P. |
233 WILSHIRE BLVD., SUITE 800 |
(Street)
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1. Name and Address of Reporting Person*
C/O CLEARLAKE CAPITAL GROUP, L.P. |
233 WILSHIRE BLVD., SUITE 800 |
(Street)
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1. Name and Address of Reporting Person*
C/O CLEARLAKE CAPITAL GROUP, L.P. |
233 WILSHIRE BLVD., SUITE 800 |
(Street)
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1. Name and Address of Reporting Person*
C/O CLEARLAKE CAPITAL GROUP, L.P. |
233 WILSHIRE BLVD., SUITE 800 |
(Street)
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1. Name and Address of Reporting Person*
C/O CLEARLAKE CAPITAL GROUP, L.P. |
233 WILSHIRE BLVD., SUITE 800 |
(Street)
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Explanation of Responses: |
Remarks: |
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/s/ See Signatures Included in Exhibit 99.1 |
06/17/2022 |
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** 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. |
EXHIBIT 99.1
This Statement on Form 4 is
filed jointly by the Reporting Persons listed below. The principal business address of each of these Reporting Persons is 233 Wilshire
Blvd., Suite 800, Los Angeles, California 90401.
Name of Designated Filer: Clearlake Capital Group, L.P.
Date of Event Requiring Statement: June 17, 2022
Issuer Name and Ticker or Trading Symbol: Smart Sand, Inc.
[SND]
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CLEARLAKE CAPITAL GROUP, L.P. |
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By: |
/s/ John Cannon as Attorney-in-Fact for José E.
Feliciano |
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Name: José E. Feliciano |
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Title: Co-President |
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Clearlake Capital Partners, LLC |
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By: |
/s/ John Cannon as Attorney-in-Fact for José E.
Feliciano |
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Name: José E. Feliciano |
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Title: Co-President |
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Clearlake Capital Partners II GP, L.P. |
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By: |
/s/ John Cannon as Attorney-in-Fact for José E.
Feliciano |
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Name: José E. Feliciano |
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Title: Co-President |
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CLEARLAKE CAPITAL PARTNERS II (MASTER), L.P. |
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By: |
/s/ John Cannon as Attorney-in-Fact for José E.
Feliciano |
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Name: José E. Feliciano |
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Title: Co-President |
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CLEARLAKE CAPITAL MANAGEMENT II, L.P. |
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By: |
/s/ John Cannon as Attorney-in-Fact for José E.
Feliciano |
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Name: José E. Feliciano |
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Title: Co-President |
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CCG Operations, LLC |
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By: |
/s/ John Cannon as Attorney-in-Fact for José E.
Feliciano |
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Name: José E. Feliciano |
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Title: Co-President |
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/s/ John Cannon as Attorney-in-Fact for Behdad Eghbali |
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Behdad Eghbali |
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/s/ John Cannon as Attorney-in-Fact for José E. Feliciano |
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José E. Feliciano |
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