SEC Form 4 · accession 0000908834-17-000022
Champion Homes, Inc. · SKY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey A. Newport
Officer — Chief Operating Officer
Period of report
Feb 27, 2017
Accepted (ET)
Mar 1, 2017 · 5:02 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 |
|---|---|---|---|---|---|---|---|---|
| No securities beneficially owned | holding | — | — | — | 0 | 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 | $12.39 | Feb 27, 2017 | A | 6,000 | A | — | Feb 27, 2027 | Common Stock | 6,000 | 6,000 | D |
| Restricted StockF2 | $12.39 | Feb 27, 2017 | A | 3,000 | A | — | — | Common Stock | 3,000 | 3,000 | 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 1,200 shares annually on February 27, 2018, 2019, 2020, 2021 and 2022.
- F2Restricted Stock was granted pursuant to the 2015 SIP and vests on February 27, 2022.