SEC Form 4 · accession 0000904454-18-000497

Champion Homes, Inc. · SKY

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Table I — non-derivative securities

Table II — derivative securities

Explanation of responses

• F1This price represents the public offering price of $22.00 per share of Common Stock in the Issuer's underwritten public offering, without giving effect to the underwriting discount of $1.21 per share. Sale proceeds to the Reporting Person were $20.79 per share.
• F2Includes 101,569 shares that have the opportunity to first vest on the 180th day following a secondary offering of Common Stock by the Issuer subject to a return on investment of certain of the Issuer's stockholders. Shares of Common Stock that do not vest as of the 180th day following such secondary offering shall vest upon the achievement of certain average share price targets of the Issuer's Common Stock that will be determined at the time of the secondary offering. The shares of Common Stock described in this paragraph will also have the opportunity to vest in connection with a change of control of the Issuer based on the achievement of certain performance thresholds. In each case, vesting is subject to the continuous employment of the Reporting Person through the applicable vesting event. Any shares of Common Stock that have not vested within two years following the secondary offering shall be forfeited and transferred back to the Issuer.
• F3Includes 57,805 shares that vest at 50% per year on each of the first and second anniversaries of a secondary offering of Common Stock by the Issuer, subject to the Reporting Person's continuous employment with the Issuer. The unvested shares of Common Stock described in the immediately preceding sentence will vest in full upon a change of control of the Issuer, subject to the Reporting Person's continuous employment with the Issuer through the date of such change in control.