SEC Form 4/A · accession 0000899243-16-034206
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
Court D Carruthers
Director
Period of report
Nov 11, 2016
Accepted (ET)
Nov 22, 2016 · 9:38 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F1,F2 | $23.50 | Nov 11, 2016 | A | 1,624 | A | — | Nov 11, 2026 | Common Stock | 1,624 | 1,624 | D |
| Restricted Stock UnitsF4,F3,F5 | — | Nov 11, 2016 | A | 532 | A | — | — | Common Stock | 532 | 532 | D |
Explanation of responses
- F1Due to an administrative error, 1,623 performance-based stock options were reported as time-based stock options on the Reporting Person's original Form 4.
- F2Time-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.
- F3Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock.
- F4Due to an administrative error, 532 performance-based restricted stock units were reported as time-based restricted stock units on the Reporting Person's original Form 4.
- F5Time-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.