SEC Form 4 · accession 0000908834-17-000003
Champion Homes, Inc. · SKY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard W Florea
Officer — Chief Executive Officer
Period of report
Jan 10, 2017
Accepted (ET)
Jan 12, 2017 · 5:00 pm EST
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 Stock | holding | — | — | — | 23,500 | D |
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 | $14.90 | Jan 10, 2017 | A | 18,000 | A | — | Jan 10, 2027 | Common Stock | 18,000 | 18,000 | D |
| Restricted StockF2 | $14.90 | Jan 10, 2017 | A | 12,000 | A | — | — | Common Stock | 12,000 | 12,000 | D |
Explanation of responses
- F1The options for common stock were granted pursuant to the 2015 Stock Incentive Plan ("2015 SIP") and will vest in five equal installments of 3,600 shares annually on January 10, 2018, 2019, 2020, 2021 and 2022.
- F2Restricted stock was granted pursuant to the 2015 SIP and vests on January 10, 2022.