SEC Form 4 · accession 0001579252-16-000218
Jason Industries, Inc. · JASN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Jeffry N Quinn
Officer — Chief Executive Officer · Director · 10% Owner · Other
Period of report
Sep 15, 2016
Accepted (ET)
Sep 19, 2016 · 4:21 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 StockF1,F2,F3,F4 | Sep 15, 2016 | P | 100,700 | $2.1723 | A | 3,853,398 | I | See footnote |
| Common Stock | holding | — | — | — | 97,560 | I | By Jeffry Quinn, IRA |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantsF3,F4,F5 | $12.00 | holding | — | — | — | Aug 14, 2014 | Jun 30, 2019 | Common Stock | 532,551 | 532,551 | I |
Explanation of responses
- F1The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $2.17 to $2.24. The reporting person has provided to the issuer, and will provide to any security holder of the issuer, or the SEC staff, upon request, information regarding the number of shares purchased at each price within the range for all transactions reported in this Form 4 utilizing an average weighted price.
- F2Includes 3,800,985 shares held by The Quinn Group, 26,207 shares held by the Jeffry N. Quinn Family Trust uad 8/10/2012 FBO Grace Quinn and 26,206 shares held by the Jeffry N. Quinn Family Trust uad 8/10/2012 FBO Sarah Quinn.
- F3Jeffry N. Quinn maintains control over the securities beneficially owned by the Jeffry N. Quinn Revocable Trust dated July 28, 2000, as amended, The Quinn Group, the Jeffry N. Quinn Family Trust uad 8/10/2012 FBO Grace Quinn and the Jeffry N. Quinn Family Trust uad 8/10/2012 FBO Sarah Quinn, and, consequently, Mr. Quinn may be deemed to be the beneficial owner of such securities.
- F4The Reporting Person disclaims beneficial ownership except to the extent of its pecuniary interest therein, and this report shall not be deemed an admission that such Reporting Person is the beneficial owner of the securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.
- F5Includes 522,551 warrants held by The Quinn Group, 5,000 warrants held by the Jeffry N. Quinn Family Trust uad 8/10/2012 FBO Grace Quinn and 5,000 warrants held by the Jeffry N. Quinn Family Trust uad 8/10/2012 FBO Sarah Quinn.