Form 4 for ARKO ARKO Corp.

Accepted 2021-07-16 00:00:00 ET · period of report 2021-07-14 · accession 0000899243-21-028687 · SEC index · Original document

Summary rows

Aggregated the way they appear in lists: one row per insider, transaction code and security table.

X	Filed	Traded	Ticker	Insider	Title	Type	Price	Qty	Owned	ΔOwn	Value
DI	2021-07-16	2021-07-14	ARKO	HEYER ANDREW R	Dir	J - Other	$0.00	-1.75M	1.30M	-57%	$0
DI	2021-07-16	2021-07-14	ARKO	HEYER ANDREW R	Dir	J - Other	$0.00	-2.04M	1.39M	-60%	$0

Purchase Sale Sale after option exercise All abbreviations

#	Table	Security	Date	Code	A/D	Shares	Price	Owned after	Own	Exercise / expiry	Underlying	Footnotes
1	Common	Common Stock	2021-07-14	J	D	1,751,553	$0.00	1,299,980	I See Footnote	—	—	(F2) Includes (i) 548,831 shares of ARKO Corp. Common Stock held directly by Andrew R. Heyer, (ii) 515,000 shares of ARKO Corp. Common Stock held directly by the Sponsor and (iii) 236,149 shares of ARKO Corp. Common Stock held by the Andrew R. Heyer 2019 Grantor Retained Annuity Trust (the "Retained Annuity Trust"). Steven J. Heyer and Andrew R. Heyer are the managing members of the Sponsor and jointly have voting and dispositive power of the securities held by the Sponsor. Accordingly, Messrs. Heyer and Heyer may be deemed to have or share beneficial ownership of such securities. Messrs. Heyer and Heyer disclaim beneficial ownership of the securities held by the Sponsor, except to the extent of any pecuniary interest therein. Andrew R. Heyer is the trustee of the Retained Annuity Trust and has voting and dispositive power of the securities held by such entity. Accordingly, Andrew R. Heyer may be deemed to have or share beneficial ownership of such securities.
2	Derivative	Warrants	2021-07-14	J	D	2,043,009	$0.00	1,390,324	I See Footnote	$11.50 · 2021-01-22 to 2025-12-22	2,043,009 Common Stock	(F3) Includes (i) 802,451 warrants held directly by Andrew R. Heyer, (ii) 250,000 warrants held directly by the Sponsor and (iii) 337,873 warrants held by the Retained Annuity Trust.