SEC Form 4 · accession 0001209191-17-017981
FAIRMOUNT SANTROL HOLDINGS INC. · FMSA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jenniffer D. Deckard
Officer — President and CEO · Director
Period of report
Mar 1, 2017
Accepted (ET)
Mar 3, 2017 · 6:23 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001010858
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Mar 1, 2017 | A | 26,100 | $0.00 | A | 88,686 | D | |
| Common StockF3 | Mar 1, 2017 | S | 4,245 | $9.5605 | D | 84,441 | D | |
| Common StockF4 | Mar 1, 2017 | A | 2,000 | $0.00 | A | 8,240 | I | By Spouse |
| Common StockF6 | Mar 1, 2017 | S | 398 | $9.65 | D | 7,842 | I | By Spouse |
| Common Stock | holding | — | — | — | 2,098,268 | I | As trustee of Jenniffer D. Deckard Family Trust U/A/D dated February 28, 2010 | |
| Common Stock | holding | — | — | — | 857,888 | I | As trustee of the Abbey Jo Deckard Trust | |
| Common Stock | holding | — | — | — | 857,888 | I | As trustee of the Connor John Deckard Trust | |
| Common Stock | holding | — | — | — | 102,000 | I | As trustee of Daryl K. Deckard Irrevocable Trust dated August 29, 2014 | |
| Common Stock | holding | — | — | — | 353,600 | I | As spouse to the trustee of Jenniffer D. Deckard Irrevocable Trust dated December 27, 2012 | |
| Common Stock | holding | — | — | — | 386,563 | I | By 401(k) Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy)F8,F7 | $10.03 | Mar 1, 2017 | A | 50,700 | A | — | Mar 1, 2027 | Common Stock | 50,700 | 769,212 | D |
| Employee Stock Option (Right to Buy)F7 | $10.03 | Mar 1, 2017 | A | 3,300 | A | — | Mar 1, 2027 | Common Stock | 3,300 | 23,065 | D |
Explanation of responses
- F1The reporting person was granted 26,100 restricted stock units. The restricted stock units vest in 1/4 increments commencing one year after the date of grant.
- F2The transaction reflects the number of shares of Common Stock sold pursuant to the terms of the Restricted Stock Unit Agreement and in accordance with the Fairmount Santrol Holdings Inc. 2014 Long Term Incentive Plan, to satisfy the reporting person's tax withholding obligations upon the vesting of 12,500 restricted stock units.
- F3Includes an aggregate of 76,186 restricted stock units.
- F4The reporting person's spouse was granted 2,000 restricted stock units. The restricted stock units vest in 1/4 increments commencing one year after the date of grant.
- F5The transaction reflects the number of shares of Common Stock sold pursuant to the terms of the Restricted Stock Unit Agreement and in accordance with the Fairmount Santrol Holdings Inc. 2014 Long Term Incentive Plan, to satisfy the reporting person's tax withholding obligations upon the vesting of 1,050 restricted stock units.
- F6Includes an aggregate of 7,190 restricted stock units.
- F7The options vest and become exercisable in 1/3 increments commencing one year after the date of grant.
- F8The total number of options previously reported has been reduced due to a prior inadvertent math error.