SEC Form 4 · accession 0001140361-17-002919
At Home Group Inc. · HOME
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jennifer Warren
Officer — Chief Marketing Officer
Period of report
Jan 24, 2017
Accepted (ET)
Jan 25, 2017 · 9:40 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001646228
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy)F2,F1 | $17.5565 | Jan 24, 2017 | D | 28,194 | D | — | Apr 7, 2025 | Common Stock | 28,194 | 0 | D |
Explanation of responses
- F1The option vested with respect to 28,194 underlying shares on April 7, 2016 and provided for vesting with respect to the remaining 84,712 underlying shares in substantially equal annual installments on each of April 7, 2017, 2018, and 2019.
- F2The vested portion of the option was cancelled in connection with the reporting person's separation from service and the reporting person received $10,000 as consideration for the cancellation. The remaining 84,712 shares underlying the option were unvested as of the reporting person's separation from service and were cancelled without consideration in accordance with the terms of the option.