SEC Form 4/A · accession 0000899243-16-026990
US Foods Holding Corp. · USFD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Fareed A Khan
Officer — Chief Financial Officer
Period of report
Jun 23, 2016
Accepted (ET)
Aug 12, 2016 · 4:55 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001665918
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)F1,F2 | $23.18 | Jun 23, 2016 | A | 42,939 | A | — | Jun 23, 2026 | Common Stock | 42,939 | 42,939 | D |
Explanation of responses
- F1Due to an accounting error, 10,159 additional time-based stock options granted to the reporting person were omitted from the reporting person's original Form 4.
- F2Time-based stock options granted on June 23, 2016. The time-based stock options will vest and become exercisable in equal annual installments on each June 3, 2017, 2018, 2019 and 2020, contingent on the reporting person's continued service with the Issuer.