SEC Form 4 · accession 0001702744-19-000005
Simply Good Foods Co · SMPL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jill M. Short
Officer — Chief Customer Officer
Period of report
Jan 8, 2019
Accepted (ET)
Jan 10, 2019 · 4:15 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001702744
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jan 8, 2019 | M | 23,283 | $12.00 | A | 49,188 | D | |
| Common Stock | Jan 8, 2019 | F | 17,266 | $18.94 | D | 31,922 | D | |
| Common Stock | Jan 8, 2019 | M | 2,786 | $12.00 | A | 34,708 | D | |
| Common Stock | Jan 8, 2019 | F | 2,013 | $18.94 | D | 32,695 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options to Purchase Common StockF2 | $12.00 | Jan 8, 2019 | M | 23,283 | D | — | Jul 14, 2027 | Common Stock | 23,283 | 46,563 | D |
| Options to Purchase Common StockF3 | $12.00 | Jan 8, 2019 | M | 2,786 | D | — | Aug 28, 2027 | Common Stock | 2,786 | 5,574 | D |
Explanation of responses
- F1Represents shares withheld by the issuer to cover the exercise price and tax withholding obligations upon the exercise of the options.
- F2The options vest in three equal annual installments beginning on July 14, 2018, subject to the reporting person's continuous service with the issuer as of each vesting date.
- F3The options vest in three equal annual installments beginning on August 28, 2018, subject to the reporting person's continuous service with the issuer as of each vesting date.