Amended Statement of Beneficial Ownership (sc 13d/a)
2016年6月9日 - 2:53AM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13D
Under the Securities Exchange Act of 1934
(Amendment No. 2)
Fuel Systems
Solutions, Inc.
(Name of Issuer)
Common Stock
(Title of
Class of Securities)
35952W103
(CUSIP Number)
Ryan J.
York
Davis Wright Tremaine LLP
1201 Third Avenue, Suite 2200
Seattle, WA 98101
(206)
622-3150
(Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications)
June 1, 2016
(Date of
Event which Requires Filing of this Statement)
If the filing
person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of §§ 240.13d-1(e), 240.13d-1(f), or 240.13d-1(g), check the
following box.
¨
Note:
Schedules filed in paper format shall
include a signed original and five copies of the schedule, including all exhibits. See § 240.13d-7 for other parties to whom copies are to be sent.
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The remainder of this cover page shall be filled out for a reporting persons initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information
which would alter the disclosures provided in a prior cover page.
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The information required on the remainder of this cover
page shall not be deemed to be filed for the purpose of Section 18 of the Securities Exchange Act of 1934 (Act) or otherwise subject to the liabilities of that section of Act but shall be subject to all other provisions
of the Act (however, see the Notes).
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1
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NAMES OF
REPORTING PERSONS
Kevin Douglas
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP (SEE INSTRUCTIONS)
(a)
¨
(b)
x
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS (SEE INSTRUCTIONS)
PF
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5
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CHECK IF DISCLOSURE OF LEGAL
PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)
¨
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6
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CITIZENSHIP OR PLACE OF
ORGANIZATION
United States
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
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7
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SOLE VOTING POWER:
0
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8
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SHARED VOTING POWER:
0 (1)
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9
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SOLE DISPOSITIVE POWER:
0
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10
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SHARED DISPOSITIVE POWER:
0 (1)
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0 (1)
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12
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CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW 11 EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW 11
0.0%
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14
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TYPE OF REPORTING PERSON (SEE
INSTRUCTIONS)
IN
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(1)
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Kevin Douglas and his wife, Michelle Douglas are beneficiaries and co-trustees of the K&M Douglas Trust. In addition, Kevin Douglas and Michelle Douglas are co-trustees of the James Douglas and Jean Douglas
Irrevocable Descendants Trust.
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1
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NAMES OF
REPORTING PERSONS
Michelle Douglas
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP (SEE INSTRUCTIONS)
(a)
¨
(b)
x
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS (SEE INSTRUCTIONS)
PF
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5
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CHECK IF DISCLOSURE OF LEGAL
PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)
¨
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6
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CITIZENSHIP OR PLACE OF
ORGANIZATION
United States
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
|
7
|
|
SOLE VOTING POWER:
0
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8
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SHARED VOTING POWER:
0 (1)
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9
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SOLE DISPOSITIVE POWER:
0
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10
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SHARED DISPOSITIVE POWER:
0 (1)
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0 (1)
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12
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CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW 11 EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW 11
0.0%
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14
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TYPE OF REPORTING PERSON (SEE
INSTRUCTIONS)
IN
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(1)
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Kevin Douglas and his wife, Michelle Douglas, are beneficiaries and co-trustees of the K&M Douglas Trust. In addition, Kevin Douglas and Michelle Douglas are co-trustees of the James Douglas and Jean Douglas
Irrevocable Descendants Trust.
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1
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NAMES OF
REPORTING PERSONS
James E. Douglas, III
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP (SEE INSTRUCTIONS)
(a)
¨
(b)
x
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS (SEE INSTRUCTIONS)
PF
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5
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CHECK IF DISCLOSURE OF LEGAL
PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)
¨
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6
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CITIZENSHIP OR PLACE OF
ORGANIZATION
United States
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
|
7
|
|
SOLE VOTING POWER:
0
|
|
8
|
|
SHARED VOTING POWER:
0
|
|
9
|
|
SOLE DISPOSITIVE POWER:
0
|
|
10
|
|
SHARED DISPOSITIVE POWER:
0
|
11
|
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
|
12
|
|
CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW 11 EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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13
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|
PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW 11
0.0%
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14
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TYPE OF REPORTING PERSON (SEE
INSTRUCTIONS)
IN
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1
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NAMES OF
REPORTING PERSONS
K&M Douglas Trust (1)
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP (SEE INSTRUCTIONS)
(a)
¨
(b)
x
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS (SEE INSTRUCTIONS)
PF
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5
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CHECK IF DISCLOSURE OF LEGAL
PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)
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6
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CITIZENSHIP OR PLACE OF
ORGANIZATION
California
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
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7
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SOLE VOTING POWER:
0
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8
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SHARED VOTING POWER:
0 (2)
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9
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SOLE DISPOSITIVE POWER:
0
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10
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SHARED DISPOSITIVE POWER:
0 (2)
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0 (2)
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12
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CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW 11 EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW 11
0.0%
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14
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TYPE OF REPORTING PERSON (SEE
INSTRUCTIONS)
OO
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(1)
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Kevin Douglas and Michelle Douglas, husband and wife, are beneficiaries and co-trustees.
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(2)
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Kevin Douglas and his wife, Michelle Douglas are beneficiaries of the K&M Douglas Trust.
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1
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NAMES OF
REPORTING PERSONS
James Douglas and Jean Douglas Irrevocable Descendants Trust
(1)
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP (SEE INSTRUCTIONS)
(a)
¨
(b)
x
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3
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SEC USE ONLY
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4
|
|
SOURCE OF FUNDS (SEE INSTRUCTIONS)
PF
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5
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CHECK IF DISCLOSURE OF LEGAL
PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)
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6
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CITIZENSHIP OR PLACE OF
ORGANIZATION
California
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
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7
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|
SOLE VOTING POWER:
0
|
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8
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SHARED VOTING POWER:
0
|
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9
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SOLE DISPOSITIVE POWER:
0
|
|
10
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SHARED DISPOSITIVE POWER:
0
|
11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
|
12
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CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW 11 EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW 11
0.0%
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14
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TYPE OF REPORTING PERSON (SEE
INSTRUCTIONS)
OO
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(1)
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Kevin Douglas and Michelle Douglas, husband and wife, are co-trustees.
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1
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NAMES OF
REPORTING PERSONS
Douglas Family Trust (1)
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP (SEE INSTRUCTIONS)
(a)
¨
(b)
x
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3
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SEC USE ONLY
|
4
|
|
SOURCE OF FUNDS (SEE INSTRUCTIONS)
PF
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5
|
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CHECK IF DISCLOSURE OF LEGAL
PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)
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6
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CITIZENSHIP OR PLACE OF
ORGANIZATION
California
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
|
7
|
|
SOLE VOTING POWER:
0
|
|
8
|
|
SHARED VOTING POWER:
0
|
|
9
|
|
SOLE DISPOSITIVE POWER:
0
|
|
10
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SHARED DISPOSITIVE POWER:
0
|
11
|
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
|
12
|
|
CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW 11 EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
|
13
|
|
PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW 11
0.0%
|
14
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TYPE OF REPORTING PERSON (SEE
INSTRUCTIONS)
OO
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(1)
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James E. Douglas Jr. and Jean A Douglas, husband and wife, are co-trustees.
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Schedule 13D
This Amendment No. 2 (Amendment) amends and supplements the Schedule 13D filed with the U.S. Securities and Exchange Commission (the
SEC) on September 2, 2015, as previously amended by the Schedule 13D/A filed with the SEC on March 21, 2016 (the Schedule 13D).
This Amendment is the Filers final amendment to the Schedule 13D and is an exit filing.
Except as set forth in this Amendment, the Schedule 13D remains unchanged. Unless otherwise indicated, all capitalized terms used herein but not defined
herein shall have the same meaning as set forth in the Schedule 13D.
ITEM 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION
On June 1, 2016, Westport Innovations, Inc. (Westport) acquired the Issuer pursuant to the Agreement and Plan of Merger by and among Westport,
Merger Sub and the Issuer, dated as of September 1, 2015, as amended by Amendment No. 1 thereto, dated as of March 6, 2016 (the Merger Agreement). In accordance with the Merger Agreement, Merger Sub merged with and into
the Issuer (the Merger), with the Issuer surviving the Merger as a wholly owned subsidiary of Westport. As a result, the shares of common stock beneficially owned by the Filers were cancelled and extinguished and converted into the right
to receive 2.4755 common shares of Westport for each share of the Issuers common stock. Accordingly, the Reporting Persons no longer beneficially own any securities of the Issuer. The Filers were not required to expend any funds in connection
with the foregoing, and the Filers received the same consideration per share as other shareholders of the Issuer received pursuant to the Merger Agreement.
ITEM 4. PURPOSE OF TRANSACTION
The Filers hereby
add the following disclosure to Item 4:
Item 3 is incorporated by reference in this Item 4 as if fully set forth herein. As described in Item 3 above,
following completion of the Merger pursuant to the terms of the Merger Agreement the Filers no longer beneficially own any securities of the Issuer.
Both
the Voting Agreement and the Letter Agreement terminated at the closing of the Merger in accordance with their terms.
The Filers do not have any present
plan or proposal that would relate to or result in any of the matters set forth in subparagraphs (a) (j) of Item 4 of Schedule 13D.
ITEM 5. INTEREST IN SECURITIES OF THE ISSUER
(a)
and (b) The beneficial ownership of the Common Stock by each Filer at the date hereof is reflected on that Filers cover page.
(c) There were
no transactions effected by the Filers in the Common Stock within the past sixty (60) days.
(d) and (e) Not applicable.
ITEM 6. CONTRACTS, AGREEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT TO SECURITIES OF THE ISSUER.
Other than as described in Items 4 and 5 of this statement, to the knowledge of the Filers, none of the Filers is party to any other contracts,
arrangements, understandings or relationships with respect to any securities of the Issuer, including but not limited to the transfer or voting of any of the securities, finders fees, joint ventures, loan or option agreements, puts or calls,
guarantees of profits, division of profits or loss, or the giving or withholding of proxies.
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
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Date: June 8, 2016
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*Kevin Douglas
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K
EVIN
D
OUGLAS
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Date: June 8, 2016
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*Michelle Douglas
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M
ICHELLE
D
OUGLAS
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Date: June 8, 2016
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*James E. Douglas, III
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J
AMES
E. D
OUGLAS
, III
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K&M D
OUGLAS
T
RUST
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Date: June 8, 2016
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*Kevin Douglas
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By:
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Kevin Douglas
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Title:
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Trustee
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Date: June 8, 2016
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*Michelle Douglas
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By:
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Michelle Douglas
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Title:
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Trustee
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J
AMES
D
OUGLAS
A
ND
J
EAN
D
OUGLAS
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I
RREVOCABLE
D
ESCENDANTS
T
RUST
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Date: June 8, 2016
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*Kevin Douglas
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By:
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Kevin Douglas
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Title:
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Trustee
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Date: June 8, 2016
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*Michelle Douglas
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By:
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Michelle Douglas
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Title:
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Trustee
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D
OUGLAS
F
AMILY
T
RUST
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Date: June 8, 2016
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*James E. Douglas, Jr.
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By:
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James E. Douglas, Jr.
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Title:
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Trustee
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Date: June 8, 2016
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*Jean A. Douglas
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By:
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Jean A. Douglas
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Title:
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Trustee
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*Eileen Wheatman
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/s/ Eileen Wheatman
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By: Eileen Wheatman
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Attorney-in-Fact
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Fuel Systems Solutions, Inc. (NASDAQ:FSYS)
過去 株価チャート
から 3 2025 まで 4 2025
Fuel Systems Solutions, Inc. (NASDAQ:FSYS)
過去 株価チャート
から 4 2024 まで 4 2025