SEC Form 4 · accession 0001209191-15-064844
Amplify Snack Brands, INC · BETR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brian Goldberg
Officer — Chief Financial Officer
Period of report
Aug 10, 2015
Accepted (ET)
Aug 10, 2015 · 2:42 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001640313
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Aug 10, 2015 | A | 38,043 | $0.00 | A | 38,043 | D | |
| Common StockF1,F2 | Aug 10, 2015 | A | 1,473,299 | $0.00 | A | 1,511,342 | D | |
| Common Stock | Aug 10, 2015 | S | 8,376 | $18.00 | D | 1,502,966 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These shares were distributed to the Reporting Person in connection with the liquidation of TA Topco 1, LLC pursuant to the distribution provisions of its limited liability company agreement based on the value implied by the price of the shares of common stock sold in Issuer's initial public offering. This transaction was exempt from Section 16 of the Securities Exchange Act of 1934, as amended, pursuant to Rules 16b-3, 16a-13 and 16a-9 promulgated thereunder.
- F2These shares are subject to vesting restrictions per a certain restricted stock award agreement between the Reporting Person and the Issuer.