SEC Form 4 · accession 0001579252-17-000042
Jason Industries, Inc. · JASN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas L Doerr Jr.
Officer — VP, GC and Secretary
Period of report
Jun 30, 2017
Accepted (ET)
Jul 5, 2017 · 7:27 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 | Jun 30, 2017 | M | 14,589 | $0.00 | A | 24,203 | D | |
| Common Stock | Jun 30, 2017 | F | 4,975 | $1.29 | D | 19,228 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1 | — | Jun 30, 2017 | M | — | D | — | — | Common Stock | 14,589 | 0 | D |
| Restricted Stock UnitsF2 | — | Jul 5, 2017 | A | 75,000 | A | — | — | Common Stock | 75,000 | 75,000 | D |
Explanation of responses
- F1The time-vesting restricted stock units vest in two equal installments with the first vesting date being June 30, 2016 and the second vesting date being June 30, 2017, provided that the reporting person has not been terminated prior to the applicable vesting date.
- F2The time-vesting restricted stock units vest in two equal installments with the first vesting date being January 5, 2019 and the second vesting date being July 5, 2020, provided that the reporting person has not been terminated prior to the applicable vesting date.