SEC Form 4 · accession 0001359841-17-000067
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
May 10, 2017
Accepted (ET)
May 12, 2017 · 4:31 pm EDT
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 | May 10, 2017 | M | 101,007 | — | A | 310,142 | D | |
| Common Stock | May 10, 2017 | F | 45,655 | $21.81 | D | 264,487 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom StockF3,F1,F4,F5 | — | May 10, 2017 | M | 101,007 | D | — | — | Common Stock | 101,007 | 34,231 | D |
Explanation of responses
- F1Represents a distribution to the Reporting Person of 101,007 shares of Hanesbrands Inc. common stock in settlement of an equal number of shares of phantom stock held in a stock equivalent account (the "HBI Stock Fund") in the Hanesbrands Inc. Executive Deferred Compensation Plan.
- F2Represents shares of common stock withheld to pay taxes upon the distribution of shares of Hanesbrands Inc. common stock from the Plan.
- F3Represents 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.
- F41-for-1
- F5Balances 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 deferralelection, which in no case shall be prior to the January 1 following the first anniversary of the date the deferral election is made.