SEC Form 4 · accession 0001579252-16-000210

Jason Industries, Inc. · JASN

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Sep 1, 2016

Accepted (ET)

Sep 6, 2016 · 4:43 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001579252

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock	Sep 1, 2016	P	200	$1.95	A	17,200	I	By IRA
Common Stock	Sep 2, 2016	P	4,800	$2.079	A	22,000	I	By IRA
Common Stock	holding	—	—		—	90,470	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Restricted Stock Units^F1	—	holding	—	—	—	—	—	Common Stock	50,891	50,891	D
Warrants	$12.00	holding	—	—	—	Aug 14, 2014	Jun 30, 2019	Common Stock	10,000	10,000	D

F1The restricted stock units vest on the one (1) year anniversary of the applicable grant date, assuming continued service. The board of directors or applicable committee of the board may, in its sole discretion, provide for accelerated vesting of the restricted stock units at any time and for any reason. Subject to the board or board committee's discretion to accelerate vesting, all unvested restricted stock units shall be immediately forfeited upon the reporting person's termination of service for any reason. Additionally, all restricted stock units shall become fully vested upon the occurrence of a change of control of Jason Industries, Inc., provided that the reporting person has not been terminated prior to such change of control. Vested restricted stock units will settle in the form of shares of common stock, cash or a combination thereof on the date that is six (6) months following the date of termination of service.