SEC Form 4/A · accession 0000899243-18-015610
Champion Homes, Inc. · SKY
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
Richard W Florea
Director
Period of report
Jun 1, 2018
Accepted (ET)
Jun 7, 2018 · 9:47 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000090896
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F3 | Jun 1, 2018 | M | 42,000 | — | A | 65,500 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock AwardsF1,F2 | — | Jun 1, 2018 | M | 42,000 | D | — | — | Common Stock | 42,000 | 0 | D |
Explanation of responses
- F1Restricted stock awards convert into common stock on a one-for-one basis.
- F2On June 1, 2018, upon the consummation of the distribution by Skyline Champion Corporation (the "Issuer") of common stock in exchange for the contribution by Champion Enterprises Holdings, LLC ("Champion") to the Issuer of its wholly-owned subsidiaries pursuant to a Share Contribution & Exchange Agreement, dated as of January 5, 2018, by and between the Issuer and Champion (the "Exchange Agreement"), the Board of Directors of the Issuer caused the unvested portion of the reporting person's outstanding restricted stock awards to undergo accelerated vesting pursuant to Section 5.18(c)(iii) of the Exchange Agreement and pursuant to the discretion granted to the Board of Directors under Section 10 of the Issuer's 2015 Stock Incentive Plan.
- F3This amendment corrects the amount of securities beneficially owned by the reporting person following the reported transaction.
Remarks
Exhibit 24.1 - Power of Attorney