SEC Form 4 · accession 0000095521-17-000036
SUPERVALU INC · SVU
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark Gross
Officer — CEO & President
Period of report
Apr 27, 2017
Accepted (ET)
Apr 28, 2017 · 1:59 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.
Table II — derivative securities
| 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 | $4.17 | Apr 27, 2017 | A | 251,319 | A | — | Apr 27, 2027 | Common Stock | 251,319 | 251,319 | D |
| Performance SharesF3,F4 | $0.00 | Apr 27, 2017 | A | 251,799 | A | — | — | Common Stock | 251,799 | 517,756 | D |
| Restricted Stock UnitsF3,F5 | $0.00 | Apr 27, 2017 | A | 191,847 | A | — | — | Common Stock | 191,847 | 191,847 | D |
Explanation of responses
- F1Grant to reporting person of option to purchase shares of common stock under Supervalu'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 grant date if SUPERVALU achieves a certain total shareholder return goal.
- F5The units will be converted into shares of SUPERVALU common stock pro rata on the first three anniversaries of the grant date.