SEC Form 4 · accession 0001579252-18-000091
Jason Industries, Inc. · JASN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffry N Quinn
Director · 10% Owner
Period of report
Sep 12, 2018
Accepted (ET)
Sep 12, 2018 · 4:42 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 | Sep 12, 2018 | S | 1,000,000 | $2.7001 | D | 2,853,398 | I | See footnote |
| Common Stock | holding | — | — | — | 97,560 | I | By Jeffry Quinn, IRA | |
| Common StockF3 | holding | — | — | — | 60,373 | I | By Spouse |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantsF2,F3,F4 | $12.00 | holding | — | — | — | Aug 14, 2014 | Jun 30, 2019 | Common Stock | 532,551 | 532,551 | I |
| WarrantsF3 | $12.00 | holding | — | — | — | Aug 14, 2014 | Jun 30, 2019 | Common Stock | 26,900 | 26,900 | I |
Explanation of responses
- F1Includes 2,800,985 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.
- F2Jeffry 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.
- F3The 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.
- F4Includes 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.