2016-12-25

FORM HOLDINGS CORP. (NASDAQ:FH) Files An 8-K Entry into a Material Definitive Agreement

Item 1.01Entry into a Material Definitive Agreement

The disclosure in Item 2.01 of this Current Report on Form 8-K

(the Current Report) is incorporated herein by reference.

Item 2.01Completion of Acquisition or Disposition of

Assets

Completion of Merger with XpresSpa Holdings,

LLC

On December 23, 2016 (the Closing Date), FHXMS, LLC

(Merger Sub), a Delaware limited liability company and

wholly-owned subsidiary of FORM Holdings Corp., a Delaware

corporation (FORM), merged with and into XpresSpa Holdings

LLC, a Delaware limited liability company (XpresSpa), with

XpresSpa being the surviving entity and a wholly-owned subsidiary

of FORM, to the terms and conditions of the previously announced

Agreement and Plan of Merger, dated as of August 8, 2016, as

subsequently amended on September 8, 2016 and October 25, 2016

(collectively, the Merger Agreement), by and among FORM,

Merger Sub, XpresSpa, the unitholders of XpresSpa who are parties

thereto or who become parties thereto (the Unitholders)

and Mistral XH Representative, LLC, as representative of the

Unitholders (the Representative) (the Merger).

On the Closing Date, (i) the then-outstanding common units of

XpresSpa (other than those held by FORM and its subsidiaries,

which were cancelled without any consideration) and (ii) the

then-outstanding preferred units of XpresSpa (other than those

held by FORM and its subsidiaries, which were cancelled without

any consideration) were cancelled and automatically converted

into the right to receive an aggregate of:

(a)

2,500,000 shares of FORM common stock, par value $0.01 per

share (FORM Common Stock),

(b)

494,792 shares of newly designated Series D Convertible

Preferred Stock, par value $0.01 per share, of FORM (the
FORM Preferred Stock) with an aggregate initial

liquidation preference of $23,750,000, accruing dividends at

9% per annum and which are initially convertible into

3,958,336 shares of FORM Common Stock, and

(c)

five-year warrants to purchase an aggregate of 2,500,000

shares of FORM Common Stock, at an exercise price of $3.00

per share, in each case, subject to adjustment in the event

of a stock split, dividend or similar events.

As a result of the consummation of the Merger, as of the Closing

Date, the former stockholders of XpresSpa own approximately 18%

of the outstanding shares of FORM Common Stock (or 33% of the

outstanding shares of FORM Common Stock calculated on a fully

diluted basis) and the stockholders of FORM prior to the Merger

own approximately 82% of the outstanding shares of FORM Common

Stock (or 67% of the outstanding shares of FORM Common Stock

calculated on a fully diluted basis).

The FORM Common Stock and FORM Preferred Stock issued in

connection with the Merger were registered under the Securities

Act of 1933, as amended (the Securities Act), to a

registration statement on Form S-4 (File No.333-213566),

originally filed with the SEC on September 9, 2016, as amended,

and declared effective on October 27, 2016 (the Form S-4).

The prospectus included in the Form S-4 contains additional

information about the Merger and the related transactions. The

Form S-4 also included the proxy statement (the Proxy

Statement) for FORMs 2016 Annual Meeting of Stockholders,

held on November 28, 2016 (the Annual Meeting).

The foregoing description of the Merger Agreement is not complete

and is subject to, and qualified in its entirety by, the full

text of the Merger Agreement, which was attached as Annex A to

the Proxy Statement, the terms of which are incorporated herein

by reference.

Rockmore Senior Secured Note

XpresSpa is obligated under a senior secured note payable to

Rockmore Investment Master Fund Ltd. (Rockmore), a

significant equity holder of XpresSpa, with an outstanding

balance of approximately $6,500,000 (the Senior Secured

Note). The Senior Secured Note accrues interest of 9.24% per

annum, payable monthly, plus an additional 2.0% per annum, and

matures on May 1, 2018, with an additional one-year extension if

both FORM and Rockmore consent to such extension. Upon completion

of the Merger, the Senior Secured Note remained outstanding as an

obligation of XpresSpa, but became guaranteed by FORM. Rockmore

is an investment entity controlled by FORMs board member, Bruce

T. Bernstein. Rockmore owned equity securities of XpresSpa that

received approximately 9.5% of the merger consideration and,

following completion of the Merger, Rockmore remained the holder

of the Senior Secured Note, and holds approximately 4.7% of the

outstanding common stock of FORM on a fully diluted basis.

Rockmore provided its consent to the Merger.

Item 2.03Creation of a Direct Financial Obligation or an

Obligation under an Off-Balance Sheet Arrangement of a

Registrant

The disclosure in Item 2.01 of this Current Report is

incorporated herein by reference.

Item 3.03Material Modification to Rights of Security

Holders

On December 23, 2016, FORM filed with the Secretary of State of

the State of Delaware a Certificate of Designation of

Preferences, Rights and Limitations of Series D Convertible

Preferred Stock (the Certificate of Designations). to the

Certificate of Designations, the holders of FORM Preferred Stock

are entitled, among other things, to an aggregate initial

liquidation preference of $23,750,000 and the right to

participate in any dividends and distributions paid to common

stockholders on an as-converted basis. The FORM Preferred Stock

will vote on an as-converted basis. The FORM Preferred Stock

shall be initially convertible into an aggregate of 3,958,336

shares of FORM Common Stock, which equals a $6.00 per share

conversion price, and each holder of FORM Preferred Stock shall

be entitled to cast the number of votes equal to the number of

whole shares of FORM Common Stock into which such shares of FORM

Preferred Stock are convertible. Upon the occurrence of certain

fundamental events, the holders of the FORM Preferred Stock will

be able to require FORM to redeem the shares of FORM Preferred

Stock at the greater of the liquidation preference and the amount

per share as would have been payable had the shares of FORM

Preferred Stock been converted into FORM Common Stock. The

holders of record of FORM Preferred Stock shall be entitled to

elect one director of FORM, voting exclusively as a separate

class, so long as the holders of FORM Preferred Stock represent

beneficial ownership in the aggregate of equal to or more than 5%

of FORMs issued and outstanding Common Stock on an as-converted

basis.

to the terms of the Certificate of Designations, on the seven

year anniversary of the initial issuance date of the shares of

FORM Preferred Stock, FORM may repay each share of FORM Preferred

Stock, at its option, in cash, by delivery of FORM Common Stock

or through any combination thereof. If FORM elects to make a

payment, or any portion thereof, in shares of FORM Common Stock,

the number of shares deliverable (the Base Shares) will be

based on the volume weighted average price per share of FORM

Common Stock for the thirty trading days prior to the date of

calculation (the Base Price) plus an additional number of

shares of FORM Common Stock (the Premium Shares),

calculated as follows: (i) if the Base Price is greater than

$9.00, no Premium Shares shall be issued, (ii) if the Base Price

is greater than $7.00 and equal to or less than $9.00, an

additional number of shares equal to 5% of the Base Shares shall

be issued, (iii) if the Base Price is greater than $6.00 and

equal to or less than $7.00, an additional number of shares equal

to 10% of the Base Shares shall be issued, (iv) if the Base Price

is greater than $5.00 and equal to or less than $6.00, an

additional number of shares equal to 20% of the Base Shares shall

be issued and (v) if the Base Price is less than or equal to

$5.00, an additional number of shares equal to 25% of the Base

Shares shall be issued. Accordingly, if the volume weighted

average price per share of FORM Common Stock is below $9.00 per

share at the time of repayment and FORM exercises the option to

make such repayment in shares of FORM Common Stock, a large

number of shares of FORM Common Stock may be issued to the

holders of FORM Preferred Stock upon maturity, which may have a

negative effect on the trading price FORM Common Stock. At the

seven year maturity date of FORM Preferred Stock (which is the

date that is seven years from the closing date of the Merger),

FORM, at its election, may decide to issue shares of FORM Common

Stock based on the formula set forth above or to re-pay in cash

all or any portion of the FORM Preferred Stock.

In 2023, upon the maturity date of the FORM Preferred Stock, when

determining whether to repay the FORM Preferred Stock in cash or

shares of FORM Common Stock, FORM expects to consider a number of

factors, including its cash position, the price of FORM Common

Stock and FORMs capital structure at such time. Because FORM does

not have to make a determination as to which option to elect

until 2023, it is impossible to predict whether it is more or

less likely to repay in cash, stock or a portion of each. For

example, assuming the entire amount of FORM Preferred Stock was

outstanding at the seven year maturity date, and FORM opted to

repay such FORM Preferred Stock entirely in shares of FORM Common

Stock, the number of shares of FORM Common Stock to be issued at

such repayment if the Base Price was $9.00 per share, $6.50 per

share and $2.50 (above the closing price on December 22, 2016)

would be approximately 2,770,833 shares, 4,019,231 shares and

11,875,000, respectively.

The foregoing description of the Certificate of Designations is

not complete and is subject to, and qualified in its entirety by,

the full text of the Certificate of Designations, which is

attached to this Current Report as Exhibit 3.1 and is

incorporated herein by reference.

Item 5.02 Departure of Directors or Certain Officers;

Election of Directors; Appointment of Certain Officers;

Compensatory Arrangements of Certain Officers.

(c) On December 23, 2016, the board of directors of FORM (the

Board) elected Edward Jankowski as Senior Vice President and

Chief Executive Officer of XpresSpa, to hold office in accordance

with the by-laws of FORM.

Mr. Jankowski, age 63,has served as XpresSpas Chief Executive

Officer since June 2016 and as a member of its Board of Directors

since May 2015. From 2012 to 2016, Mr. Jankowski was the Vice

President and General Manager of Luxury Retail at Luxottica,

where he oversaw the Ilori and Optical Shop of Aspen and Persol

retail stores, as well as the development of a go-forward Luxury

Retail model for future expansion. From 2007 to 2012, Mr.

Jankowski was Senior Vice President and General Manager for

Godiva Chocolatier, responsible for the $400 million North

America multi-channel business, consisting of 240 retail stores,

2,000 plus wholesale doors and direct and interactive business.

From 2001 to 2007, Mr. Jankowski was the Chief Operating Officer

of Safilo Groups Solstice sunglasses stores, where he opened 120

stores, oversaw store operations, merchandising, finance,

planning/distribution, marketing and communications, loss

prevention, real estate, visual and store

design/development/construction. From 1999 to 2001, Mr. Jankowski

was the President of Airport Shops Division of World Duty Free

Americas, a division of B.A.A. While there, he was a member of

the Senior Executive Committee, with responsibility for the $120

million Airport Division. He managed 85 retail stores throughout

the United States, Bermuda and Puerto Rico in the Duty Free

Fragrance, Cosmetics, Luxury Specialty and News and Gift retail

business. From 1993 to 1999, Mr. Jankowski served as the Vice

President/Director of Stores for Liz Claiborne. During this time,

he was a member of the Retail Executive Committee and led

execution of business strategies, sales results and store profit.

Prior to his position at Liz Claiborne, Mr. Jankowski held other

significant leadership positions, such as, District Manager at

Casual Corner from 1978 to 1980, District Manager at Atherton

Industries from 1980 to 1985, District Manager, Reginal Manager

and eventually Vice President/Director of Stores at Womans World

from 1985 to 1990 and as Reginal Vice President at Gantos from

1990 to 1993. Mr. Jankowski began his career in 1975 as an

Executive Trainee for R.H. Macys. Mr. Jankowski currently serves

on the Board of Directors of the Accessories Council, FIT

Accessories Advisory and the Elizabeth Carter Beach Association.

Mr. Jankowski was formerly a member of the LIM Advisory Board.

Mr. Jankowski received his B.Sc. in management and commerce

marketing from Rider University.

FORM is currently negotiating the terms of an employment

agreement with Mr. Jankowski, which will be disclosed in a

subsequent Current Report on Form 8-K once finalized.

(d)On December 23, 2016, following the closing of the Merger,

Andrew R. Heyer was elected to the Board, to serve on the Board

until FORMs 2017 annual meeting of stockholders or until his

successor has been elected and qualified, or until his earlier

resignation or removal. Mr. Heyer will serve as the designee of

the FORM Preferred Stock to the Certificate of Designations,

which states that the holders of record of FORM Preferred Stock

shall be entitled to elect one director of FORM, voting

exclusively as a separate class, so long as the holders of FORM

Preferred Stock represent beneficial ownership in the aggregate

of equal to or more than 5% of FORMs issued and outstanding

Common Stock on an as-converted basis. The Company is not aware

of any transaction in which Mr. Heyer has an interest requiring

disclosure under Item 404(a) of Regulation S-K.

In connection with Mr. Heyers appointment, Mr. Heyer and FORM

entered into an Independent Directors Agreement, dated as of

December 23, 2016, a copy of which is attached to this Current

Report as Exhibit 10.1 and is incorporated herein by reference.

Item 8.01Other Events

On December 23, 2016, FORM issued a press release announcing the

completion of the previously announced Merger, to the Merger

Agreement. A copy of the press release is attached hereto as

Exhibit 99.1 and is incorporated herein by reference.

Item 9.01 Financial Statements and Exhibits

(a) Financial statements of business acquired.

The financial statements required by this item will be filed by

FORM by amendment to this Current Report not later than71

daysafter the date on which this Current Report was required to

be filed.

(b) Pro forma financial information.

The financial statements required by this item will be filed by

FORM by amendment to this Current Report not later than71

daysafter the date on which this Current Report was required to

be filed.

(d) Exhibits.

Exhibit Number

Description

2.1

Agreement and Plan of Merger by and among FORM Holdings

Corp., FHXMS, LLC, XpresSpa Holdings LLC, the unitholders of

XpresSpa who are parties thereto or who become parties

thereto and Mistral XH Representative, LLC, as representative

of the XpresSpa unitholders, dated as of August 8, 2016, as

amended on September 8, 2016 and October 25, 2016 (previously

filed as Annex A to FORMs Registration Statement on Form S-4

filed with the SEC on October 26, 2016).

3.1

Certificate of Designation of Preferences, Rights and

Limitations of Series D Convertible Preferred Stock.

4.1

Form of warrant to purchase shares of common stock of FORM

Holdings Corp. (previously filed as Annex F to FORMs

Registration Statement on Form S-4 filed with the SEC on

October 26, 2016).

10.1

Independent Directors Agreement, by and between FORM Holdings

Corp. and Andrew R. Heyer, dated as of December 23, 2016.

99.1

Press Release, dated December 23, 2016.

About FORM HOLDINGS CORP. (NASDAQ:FH)

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