SEC Form 4 · accession 0001579252-18-000022
Jason Industries, Inc. · JASN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Keith Alan Walz
Officer — SVP & GM-Finishing
Period of report
Mar 23, 2018
Accepted (ET)
Mar 27, 2018 · 5:17 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 | holding | — | — | — | 39,222 | I | By IRA | |
| Common Stock | holding | — | — | — | 5,000 | 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 UnitsF4,F3 | — | Mar 23, 2018 | A | 100,000 | A | — | — | Common Stock | 100,000 | 100,000 | D |
| Restricted Stock UnitsF1 | — | holding | — | — | — | — | — | Common Stock | 2,500 | 2,500 | D |
| Restricted Stock UnitsF2 | — | holding | — | — | — | — | — | Common Stock | 50,000 | 50,000 | D |
Explanation of responses
- F1The time-vesting restricted stock units vest in equal one-third (1/3) installments on each of the first three (3) anniversaries following February 4, 2016, 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.
- F3The time-vesting restricted stock units vest in equal one-third (1/3) installments on each of the first three (3) anniversaries following March 23, 2018, provided that the reporting person has not been terminated prior to the applicable vesting date.
- F4Grant is subject to stockholder approval of amendments to the Company's 2014 Omnibus Incentive Plan at the Company's annual meeting to be held on May 16, 2018.