SEC Form 4 · accession 0000095521-17-000039
SUPERVALU INC · SVU
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Anne Marie Dament
Officer — SVP, Retail, Merch & Mktg
Period of report
Apr 27, 2017
Accepted (ET)
Apr 28, 2017 · 2:00 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance SharesF1,F2 | $0.00 | Apr 27, 2017 | A | 41,966 | A | — | — | Common Stock | 41,966 | 41,966 | D |
| Restricted Stock UnitsF1,F3 | $0.00 | Apr 27, 2017 | A | 59,952 | A | — | — | Common Stock | 59,952 | 95,081 | D |
Explanation of responses
- F1Each stock unit represents a contingent right to receive one share of SUPERVALU common stock.
- F2The 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.
- F3The units will be converted into shares of SUPERVALU common stock pro rata on the first three anniversaries of the grant date.