SEC Form 4 · accession 0000095521-15-000084
SUPERVALU INC · SVU
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark L Van Buskirk
Officer — EVP, Merch Mktg & Retail Pharm
Period of report
May 16, 2015
Accepted (ET)
May 18, 2015 · 11:24 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000095521
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | May 16, 2015 | M | 5,667 | $0.00 | A | 39,797 | D | |
| Common Stock | May 16, 2015 | F | 1,905 | $0.00 | D | 37,892 | 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 UnitsF3 | $0.00 | May 16, 2015 | M | 5,667 | D | — | — | Common Stock | 5,667 | 11,000 | D |
Explanation of responses
- F1Shares of SUPERVALU common stock acquired upon the vesting and conversion of an equal number of restricted stock units.
- F2Withholding of shares of common stock to satisfy tax withholding obligations.
- F3The restricted stock units will vest and be converted into shares of SUPERVALU common stock on a 1 for 1 basis as to 34%, 33% and 33% of the units on the first three anniversaries of the May 16, 2014 grant date.