SEC Form 4 · accession 0001359841-16-000444
Hanesbrands Inc. · HBI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard D Moss
Officer — Chief Financial Officer
Period of report
Dec 10, 2016
Accepted (ET)
Dec 13, 2016 · 4:55 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001359841
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 10, 2016 | D | 11,376 | — | D | 179,582 | D | |
| Common Stock | holding | — | — | — | 29,944 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom StockF2,F1,F5,F3,F4 | — | Dec 10, 2016 | A | 11,376 | A | — | — | Common Stock | 11,376 | 134,230 | D |
Explanation of responses
- F1Represents a deferral by the Reporting Person of 11,376 shares of Hanesbrands Inc. common stock upon the vesting of restricted stock units granted to the Reporting Person on December 10, 2013. The amount deferred was contributed to a stock equivalent account (the "HBI Stock Fund") in the Hanesbrands Inc. Executive Deferred Compensation Plan (the "Plan").
- F2Represents an HBI Stock Fund balance under the Plan. Balances in the HBI Stock Fund are settled on a share-for-share basis in shares of Hanesbrands Inc. common stock.
- F31-for-1
- F4Balances in the HBI Stock Fund are settled on a share-for-share basis in shares of Hanesbrands Inc. common stock at the time specified by the Reporting Person at the time of the Reporting Person's deferral election, which in no case shall be prior to the January 1 following the first anniversary of the date the deferral election is made.
- F5Includes acquisition of 464.611, 491.669, 511.381 and 588.334 phantom stock units acquired through deemed dividend reinvestment on March 8, 2016, June 7, 2016, September 7, 2016 and December 6, 2016, respectively.