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 |
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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) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Newport Global Opportunities Fund AIV-A LP 21 WATERWAY AVENUE, SUITE 150 THE WOODLANDS, TX 77380 |
 |  X |  |  |
/s/ Timothy T. Jansen as Chief Executive Officer of Newport Global Advisors, LP, the Investment Manager to Newport Global Opportunities Fund AIV-A, LP | 10/07/2015 | |
**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) | Reflects 1,627,991 shares of common stock of J. Alexander's Holdings, Inc. held by Newport Global Opportunities Fund AIV-A LP. Newport Global Advisors LP is the investment manager to Newport Global Opportunities Fund AIV-A LP. Mr. Janszen is the Chief Executive Officer of Newport Global Advisors LP and, as a result, may be deemed to have sole voting and investment power over the shares beneficially owned by Newport Global Opportunities Fund AIV-A LP. Mr. Janszen disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein. |