SEC Form 4 · accession 0000095521-18-000006
SUPERVALU INC · SVU
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Anne Marie Dament
Officer — EVP Retail Mktg & Priv Brand
Period of report
Jan 19, 2018
Accepted (ET)
Jan 23, 2018 · 10:55 am EST
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,F2 | Jan 19, 2018 | M | 1,707 | — | A | 1,707 | D | |
| Common Stock | Jan 19, 2018 | F | 613 | $16.20 | D | 1,094 | 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 UnitsF1,F3,F4 | $0.00 | Jan 19, 2018 | M | 1,707 | D | — | — | Common Stock | 1,707 | 11,876 | D |
Explanation of responses
- F1This number reflects a 1 for 7 reverse split of the Company's common stock on August 1, 2017.
- F2Shares of SUPERVALU common stock acquired upon the vesting and conversion of an equal number of restricted stock units.
- F3Each stock unit represents a contingent right to receive a share of SUPERVALU common stock.
- F4The 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 January 19, 2017 grant date.