SEC Form 4 · accession 0000095521-18-000037
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
Apr 26, 2018
Accepted (ET)
Apr 30, 2018 · 6:00 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,F2 | Apr 27, 2018 | M | 2,913 | — | A | 4,007 | D | |
| Common Stock | Apr 27, 2018 | F | 877 | $17.03 | D | 3,130 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance SharesF1,F4,F5 | $0.00 | Apr 26, 2018 | A | 22,081 | A | — | — | Common Stock | 22,081 | 28,076 | D |
| Restricted Stock UnitsF1,F4,F6 | $0.00 | Apr 27, 2018 | M | 2,913 | D | — | — | Common Stock | 2,913 | 8,963 | 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.
- F3Shares withheld upon vesting to satisfy tax withholding obligations.
- F4Each stock unit represents a contingent right to receive one share of SUPERVALU common stock.
- F5The units will be converted into shares of SUPERVALU common stock on the fourth anniversary of the grant date if and to the extent SUPERVALU achieves certain stock price performance levels.
- F6The units will be converted into shares of SUPERVALU common stock pro rata on the first three anniversaries of the respective grant dates.