SEC Form 4 · accession 0001225208-15-015378
QXO Insulation, LLC · BLD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John S. Peterson
Officer — VP & CFO
Period of report
Jul 8, 2015
Accepted (ET)
Jul 10, 2015 · 5:31 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001633931
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common | Jul 8, 2015 | J | 17,921 | $0.00 | A | 17,921 | D | |
| Common | Jul 8, 2015 | A | 9,230 | $0.00 | A | 27,151 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock OptionF3,F2 | $27.10 | Jul 8, 2015 | A | 23,950 | A | — | Jul 8, 2025 | Common | 23,950 | 23,950 | D |
Explanation of responses
- F1Represents restricted stock awards granted by Masco Corporation that have been converted into restricted stock awards of the Issuer in connection with the spin-off of the Issuer from Masco Corporation.
- F2This option is exercisable in five equal annual installments of 4,790 shares beginning July 15, 2016.
- F3Grant of option under the TopBuild Corp. 2015 Long Term Stock Incentive Plan in transactions exempt under Rule 16b-3.