SEC Form 4 · accession 0000899243-16-033602
US Foods Holding Corp. · USFD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Jay Kvasnicka
Officer — See Remarks
Period of report
Nov 11, 2016
Accepted (ET)
Nov 15, 2016 · 7:19 pm EST
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 | $23.50 | Nov 11, 2016 | A | 6,765 | A | — | Nov 11, 2026 | Common Stock | 6,765 | 6,765 | D |
| Restricted Stock UnitsF2,F3 | — | Nov 11, 2016 | A | 2,217 | A | — | — | Common Stock | 2,217 | 2,217 | D |
Explanation of responses
- F1Time-based stock options granted on November 11, 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.
- F2Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock.
- F3Time-based restricted stock units granted on November 11, 2016. The time-based restricted stock units will vest on each June 3, 2017, 2018, 2019 and 2020, contingent on the reporting person's continued service with the Issuer.
Remarks
Executive Vice President, Locally-Managed Sales and Field Operations