SEC Form 4 · accession 0000095521-16-000218

SUPERVALU INC · SVU

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

Reporting owner

Officer — EVP Corp Dev & Chief Innov Off

Period of report

Apr 28, 2016

Accepted (ET)

Apr 29, 2016 · 5:26 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000095521

Table I — non-derivative securities

No Table I lines on this filing.

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Non-Qualified Stock Option (right to buy)^F1,F2	$5.64	Apr 28, 2016	A	58,543	A	—	Apr 28, 2026	Common Stock	58,543	58,543	D
Performance Shares^F3,F4	$0.00	Apr 28, 2016	A	27,704	A	—	—	Common Stock	27,704	27,704	D
Restricted Stock Units^F3,F5	$0.00	Apr 28, 2016	A	27,704	A	—	—	Common Stock	27,704	27,704	D
Restricted Stock Units^F3,F6	$0.00	Apr 28, 2016	A	23,936	A	—	—	Common Stock	23,936	51,640	D

F1Grant to reporting person of option to purchase shares of common stock under Issuer's 2012 Stock Plan (which includes tax withholding rights) in transaction exempt under Rule 16b-3.
F2Vesting occurs and the option becomes exercisable as to 34% of the shares on the first anniversary, 33% of the shares on the second anniversary and 33% of the shares on the third anniversary of the grant date.
F3Each stock unit represents a contingent right to receive one share of SUPERVALU common stock.
F4The units will be converted into shares of SUPERVALU common stock on the third anniversary of the April 28, 2016 grant date if SUPERVALU achieves a certain total shareholder return goal.
F5The units will be converted into shares of SUPERVALU common stock on the first three anniversaries of the April 28, 2016 grant date.
F6The units will be converted into shares of SUPERVALU common stock on the first two anniversaries of the April 28, 2016 grant date.