SEC Form 4 · accession 0001140361-16-080847
e.l.f. Beauty, Inc. · ELF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tarang Amin
Officer — See remarks · Director · 10% Owner
Period of report
Sep 27, 2016
Accepted (ET)
Sep 27, 2016 · 6:38 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001600033
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, $0.01 par valueF1,F2 | Sep 27, 2016 | C | 551,591 | — | A | 551,999 | I | By Family Trust |
| Common Stock, $0.01 par valueF1,F2 | Sep 27, 2016 | C | 551,591 | — | A | 551,999 | I | By Family Trust |
| Common Stock, $0.01 par valueF1,F2 | Sep 27, 2016 | C | 1,654,774 | — | A | 1,655,999 | I | By Family Trust |
| Common Stock, $0.01 par valueF3 | holding | — | — | — | 2,787,198 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Convertible Preferred Stock, $0.01 par valueF1,F2,F4,F5 | — | Sep 27, 2016 | C | 1,999 | D | — | — | Common Stock | 551,591 | 0 | I |
| Convertible Preferred Stock, $0.01 par valueF1,F2,F4,F5 | — | Sep 27, 2016 | C | 1,999 | D | — | — | Common Stock | 551,591 | 0 | I |
| Convertible Preferred Stock, $0.01 par valueF1,F2,F4,F5 | — | Sep 27, 2016 | C | 5,996 | D | — | — | Common Stock | 1,654,774 | 0 | I |
Explanation of responses
- F1The shares of the Issuer's Convertible Preferred Stock automatically converted into shares of the Issuer's Common Stock, for no additional consideration, on a 1:276 basis immediately prior to the consummation of the Issuer's initial public offering.
- F2Represents shares of the Issuer's Convertible Preferred Stock or Common Stock held directly by certain family trusts over which the Reporting Person and his spouse each have sole investment and voting power.
- F3Includes 146,561 Restricted Stock Units.
- F4The securities are immediately convertible.
- F5The expiration date is not relevant to the conversion of these securities.
Remarks
Chairman and Chief Executive Officer