SEC Form 4 · accession 0001579252-18-000098
Jason Industries, Inc. · JASN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James E Hyman
Director
Period of report
Nov 26, 2018
Accepted (ET)
Nov 28, 2018 · 5:09 pm EST
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 | Nov 26, 2018 | P | 15,000 | $2.02 | A | 15,000 | I | Nicholas Hyman Irrevocable Trust |
| Common StockF1 | Nov 27, 2018 | P | 15,000 | $2.05 | A | 15,000 | I | Eloise Madeline Hyman Irrevocable Trust |
| Common StockF1 | Nov 27, 2018 | P | 5,000 | $2.05 | A | 6,702 | I | Katharine Laura Susannah Hyman Irrevocable Trust |
| Common Stock | holding | — | — | — | 33,000 | 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 UnitsF2 | — | holding | — | — | — | — | — | Common Stock | 77,630 | 77,630 | D |
Explanation of responses
- F1The Reporting Person maintains certain influence over the securities beneficially owned by the Trust. The 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.
- F2The 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.