SEC FORM
3
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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OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
C/O THE CARLYLE GROUP, |
1001 PENNSYLVANIA AVE., N.W. SUITE 220 S |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 12/19/2019
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3. Issuer Name and Ticker or Trading Symbol
KLDiscovery Inc.
[ KLD ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
X |
10% Owner |
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Officer (give title below) |
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Other (specify below) |
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5. 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 Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Common Stock |
19,996,804
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I |
See footnotes
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Contingent Shares |
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Common Stock |
1,264,166 |
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I |
See footnotes
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1. Name and Address of Reporting Person*
C/O THE CARLYLE GROUP, |
1001 PENNSYLVANIA AVE., N.W. SUITE 220 S |
(Street)
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1. Name and Address of Reporting Person*
C/O THE CARLYLE GROUP, |
1001 PENNSYLVANIA AVE., N.W. SUITE 220 S |
(Street)
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1. Name and Address of Reporting Person*
C/O THE CARLYLE GROUP, |
1001 PENNSYLVANIA AVE., N.W. SUITE 220 S |
(Street)
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1. Name and Address of Reporting Person*
C/O THE CARLYLE GROUP, |
1001 PENNSYLVANIA AVE., N.W. SUITE 220 S |
(Street)
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1. Name and Address of Reporting Person*
C/O THE CARLYLE GROUP, |
1001 PENNSYLVANIA AVE., N.W. SUITE 220 S |
(Street)
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1. Name and Address of Reporting Person*
C/O THE CARLYLE GROUP |
1001 PENNSYLVANIA AVE., N.W. SUITE 220 S |
(Street)
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1. Name and Address of Reporting Person*
C/O THE CARLYLE GROUP, |
1001 PENNSYLVANIA AVE., N.W. SUITE 220 S |
(Street)
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Explanation of Responses: |
Remarks: |
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Carlyle Group Management L.L.C. By: /s/ Anne Frederick, attorney-in-fact for Curtis L. Buser, Chief Financial Officer |
12/30/2019 |
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The Carlyle Group L.P. By: Carlyle Group Management L.L.C., its general partner By: /s/ Anne Frederick, attorney-in-fact for Curtis L. Buser, Chief Financial Officer |
12/30/2019 |
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Carlyle Holdings I GP Inc. By: /s/ Anne Frederick, attorney-in-fact for Curtis L. Buser, Chief Financial Officer |
12/30/2019 |
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Carlyle Holdings I GP Sub L.L.C. By: Carlyle Holdings I GP Inc., its sole member By: /s/ Anne Frederick, attorney-in-fact for Curtis L. Buser, Chief Financial Officer |
12/30/2019 |
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Carlyle Holdings I L.P. By: /s/ Anne Frederick, attorney-in-fact for Curtis L. Buser, Chief Financial Officer |
12/30/2019 |
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TC Group, L.L.C. By: Carlyle Holdings I L.P., its sole member By: /s/ Anne Frederick, attorney-in-fact for Curtis L. Buser, Chief Financial Officer |
12/30/2019 |
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TC Group Sub L.P. By: TC Group, L.L.C., its general partner By: Carlyle Holdings I L.P., its sole member By: /s/ Anne Frederick, attorney-in-fact for Curtis L. Buser, Chief Financial Officer |
12/30/2019 |
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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
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. |
POWER OF ATTORNEY
The undersigned understands that, from time to time, the Carlyle
Companies (defined below) are required to prepare, execute and file certain
federal and state securities laws filings.
Know all by these presents, that the undersigned hereby constitutes and
appoints each of Jeremy Anderson, Joanne Cosiol, Anne Frederick, Kevin Gasque,
Erica Herberg, Norma Kuntz, Joshua Lefkowitz, David Lobe, Karen McMonagle,
Aditya Narain, Venu Rathi, Michelle Reing, Ryan Toteja and Catherine Ziobro, or
any of them signing singly, and with full power of substitution, the
undersigned's true and lawful attorney-in-fact to:
(1) prepare, execute in the name of each Carlyle Company and on
behalf of each Carlyle Company, and submit to the U.S. Securities
and Exchange Commission (the "SEC") a Form ID, including
amendments thereto, and any other documents necessary or
appropriate to obtain codes and passwords enabling the
undersigned to make electronic filings with the SEC of Forms D
("Form D") required to be filed in accordance with Rule 503
("Rule 503") promulgated with respect to Sections 4(2), 4(6) and
3(b) of the Securities Act of 1933 (the "1933 Act") and reports
required by Sections 13(d) and 16(a) of the Securities Exchange
Act of 1934 (the "1934 Act") or any rule or regulation of the
SEC;
(2) prepare and execute for and on behalf of each Carlyle Company, in
the undersigned's capacity as a Chairman, authorized person,
officer and/or director of each Carlyle Company, federal and
state securities laws filings including without limitation Forms
D pursuant to Rule 503 and Schedules 13D and 13G and Forms 3, 4,
and 5 in accordance with Sections 13(d) and 16(a) of the 1934 Act
and the rules thereunder;
(3) do and perform any and all acts for and on behalf of each Carlyle
Company which may be necessary or desirable to complete and
execute any such federal and state securities laws filings
including without limitation Forms D, Schedules 13D and 13G and
Forms 3, 4, and 5, complete and execute any amendment or
amendments thereto, and timely file such form with the SEC and
the securities administrators of any state, the District of
Columbia, the Commonwealth of Puerto Rico, Guam and the United
States Virgin Islands or their designees and any stock exchange
or similar authority; and
(4) take any other action of any type whatsoever in connection with
the foregoing which, in the opinion of such attorney-in-fact,
may be of benefit to, in the best interest of, or legally
required by, the undersigned, it being understood that the
documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such
form and shall contain such terms and conditions as such
attorney-in-fact may approve in such attorney-in-fact's
discretion.
The undersigned hereby grants to each such attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary, or proper to be done in the exercise of any of the rights
and powers herein granted, as fully to all intents and purposes as the
undersigned might or could do if personally present, with full power of
substitution or revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall
lawfully do or cause to be done by virtue of this power of attorney and the
rights and powers herein granted, whether the same needs to be executed, taken
or done by him in his capacity as a current or former member, partner,
shareholder, director or officer of any company, partnership, corporation,
organization, firm, branch or other entity connected with, related to or
affiliated with any of the entities constituting the Carlyle Companies or
entities that directly or indirectly hold interests in the Carlyle Companies.
The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming any
of the undersigned's responsibilities to comply with federal and state
securities laws, including without limitation Rule 503 of the 1933 Act or
Section 13 and Section 16 of the 1934 Act.
This Power of Attorney and all authority conferred hereby shall not be
terminated by operation of law, whether by the death or incapacity of the
undersigned or by occurrence of any other event. Actions taken by an attorney-
in-fact pursuant to this Power of Attorney shall be as valid as if any event
described in the preceding sentence had not occurred, whether or not the
attorney-in-fact shall have received notice of such event. Notwithstanding the
foregoing, (i) in the event that an attorney-in-fact is no longer employed by
The Carlyle Group Employee Co., L.L.C. or its affiliates, this Power of Attorney
and all authority conferred hereby shall be immediately terminated with respect
to such Attorney, and (ii) the undersigned may terminate or revoke this Power of
Attorney at any time.
For purposes hereof, the "Carlyle Companies" shall consist of: (i)
Carlyle Group Management L.L.C., The Carlyle Group L.P., Carlyle Holdings I GP
Inc., Carlyle Holdings I GP Sub L.L.C., Carlyle Holdings I L.P., TC Group,
L.L.C., Carlyle Holdings II GP L.L.C., Carlyle Holdings II L.P., TC Group
Investment Holdings, L.P., Carlyle Holdings III GP Management L.L.C., Carlyle
Holdings III GP L.P., Carlyle Holdings III GP Sub L.L.C., Carlyle Holdings III
L.P., TC Group Cayman L.P., TC Group Sub L.P., TC Group Investment Holdings Sub
L.P., TC Group Cayman Investment Holdings Sub L.P., TC Group Cayman Sub L.P. and
(ii) the subsidiaries and affiliates of the foregoing in clause (i), including
without limitation investment funds sponsored directly or indirectly by one or
more of the Carlyle Companies.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of this 11th day of February, 2019.
By: /s/ Curtis L. Buser
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Name: Curtis L. Buser
Title: Chief Financial Officer