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SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Steele John E.

(Last) (First) (Middle)
C/O CONVEY HOLDING PARENT, INC.
100 SE THIRD AVENUE, 26TH FLOOR

(Street)
FORT LAUDERDALE FL 33394

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/15/2021
3. Issuer Name and Ticker or Trading Symbol
Convey Holding Parent, Inc. [ CNVY ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP, TECHNOLOGY
5. If Amendment, Date of Original Filed (Month/Day/Year)
06/15/2021
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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: 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
Stock Option (right to buy) (1) 06/15/2031 Common Stock 111,607(1)(2) $14 D
Explanation of Responses:
1. Represents 111,607 time-vesting options. Time-vesting options are subject to a four-year time-based vesting schedule, with 25% vesting on June 15, 2022, and the remainder vesting in 12 equal installments every three months thereafter, subject to Mr. Steele's continued service with Convey Holding Parent, Inc. through the applicable vesting date.
2. This amended Form 3 is being filed to correct the Stock Option balance reported on the original Form 3, filed on June 15, 2021. The original Form 3 incorrectly listed the Stock Option balance as 17,857 as a result of a calculation error.
/s/ Giovanni Castellanos, attorney-in-fact for John E Steele 06/16/2021
** 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 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).
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.