SEC Form 4 · accession 0000095521-17-000056
SUPERVALU INC · SVU
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Karla C Robertson
Officer — EVP Gen Counsel & Corp Sec
Period of report
Apr 28, 2017
Accepted (ET)
May 1, 2017 · 6:02 pm 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 StockF1 | Apr 28, 2017 | M | 9,420 | — | A | 45,539 | D | |
| Common Stock | Apr 28, 2017 | F | 3,081 | $4.10 | D | 42,458 | D | |
| Common Stock | Apr 30, 2017 | F | 3,439 | $4.10 | D | 39,019 | 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 UnitsF2,F3 | $0.00 | Apr 28, 2017 | M | 9,420 | D | — | — | Common Stock | 9,420 | 98,174 | D |
Explanation of responses
- F1Shares of SUPERVALU common stock acquired upon the vesting and conversion of an equal number of restricted stock units.
- F2Each stock unit represents a contingent right to receive a share of SUPERVALU common stock.
- 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 April 28, 2016 grant date.