Specialized Disclosure Report (sd)
29 May 2020 - 10:41PM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM SD
SPECIALIZED DISCLOSURE REPORT
ASV HOLDINGS,
INC.
(Exact name of the registrant as specified in its charter)
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DELAWARE
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001-38089
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82-1501649
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(State or other jurisdiction of
incorporation or organization)
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(Commission
File Number)
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(IRS Employer
Identification No.)
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840 LILY LANE, GRAND RAPIDS, MN
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55744
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(Address of principal executive offices)
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(Zip code)
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MELISSA HOW (218)-327-3434
(Name and telephone number, including area code, of the
person to contact in connection with this report.)
Check the appropriate box to
indicate the rule pursuant to which this form is being filed and provide the period to which the information in this form applies:
☒
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Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2019.
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Under the final
rule, a company that uses any of the designated minerals is required to conduct a reasonable country of origin inquiry that must be performed in good faith and be reasonably designed to determine whether any of its minerals originated in
the covered countries or are from scrap or recycled sources.
ITEM 1.01 Conflicts Minerals Disclosure and Report
Conflict Minerals Disclosure
ASV Holdings, Inc. (the
Company) undertook a reasonable country of origin inquiry with respect to the conflict minerals used in the production of the Companys products and has determined in good faith that for the year ended December 31, 2019:
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the Company has manufactured or contracted to manufacture products as to which tin, tungsten, tantalum and/or
gold (herein referred to as 3TGs, for conflict minerals) are necessary to the functionality or production of such products.
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Based on a reasonable country of origin inquiry and additional due diligence measures, the Company
knows or has reason to believe that a portion of its necessary 3TGs originated or may have originated in the Democratic Republic of the Congo or an adjoining country (collectively, sometimes referred to as the Covered Countries)
and knows or has reason to believe that those necessary 3TGs may not be from recycled or scrap sources.
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The Companys
reasonable country of origin inquiry (RCOI) employed a combination of measures to determine whether the necessary 3TGs in the Companys products originated from the Covered Countries. The Companys primary means of determining
country of origin of necessary 3TGs was by conducting a supply chain survey with direct suppliers using the RBA-GeSI (Responsible Business Alliance Global E-Sustainability Initiative)
conflict minerals reporting template (CMRT), version 5 or higher.
In accordance with rule 13p-1 under
the Securities and Exchange Act of 1934 (Rule 13p-1), the Company has filed this Specialized Disclosure Form (Form SD) and the associated Conflict Minerals Report and both reports are posted to the
SECs EDGAR database at www.sec.gov.
ITEM 1.02 Exhibit
The Company has included its Conflict Minerals Report as Exhibit 1.01 to this form SD.
Item 2.01 Exhibits
Exhibit 1.01 Conflict
Minerals Report as required by Item 1.01 and 1.02 of this Form.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the duly
authorized undersigned.
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ASV HOLDINGS, INC.
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(Registrant)
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/s/ Melissa How
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May 29, 2020
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Melissa How
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(Date)
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Chief Financial Officer
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