SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
van Niekerk Teresa

(Last) (First) (Middle)
C/O ALLISON TRANSMISSION HOLDINGS, INC.
ONE ALLISON WAY

(Street)
INDIANAPOLIS IN 46222

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/14/2022
3. Issuer Name and Ticker or Trading Symbol
Allison Transmission Holdings Inc [ ALSN ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP, Global Purchasing & SQ
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 9,890 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (right to buy) (1) 02/07/2028 Common Stock 5,892 $43.3 D
Employee Stock Option (right to buy) (2) 02/20/2029 Common Stock 5,705 $49.6 D
Employee Stock Option (right to buy) (3) 02/25/2023 Common Stock 6,761 $43.24 D
Employee Stock Option (right to buy) (4) 02/10/2031 Common Stock 8,281 $43.13 D
Employee Stock Option (right to buy) (5) 02/23/2032 Common Stock 9,907 $39.42 D
Restricted Stock Units (6) (6) Common Stock 2,254 (7) D
Restricted Stock Units (8) (8) Common Stock 1,840 (7) D
Restricted Stock Units (9) (9) Common Stock 3,302 (7) D
Dividend Equivalent Rights (10) (10) Common Stock 121 (10) D
Explanation of Responses:
1. The options vested on February 7, 2021.
2. The options vested on February 20, 2022.
3. The options vests on February 25, 2023.
4. The option vests in three equal annual installments beginning on February 10, 2022.
5. The option vests in three equal annual installments beginning on February 23, 2023.
6. The restricted stock units ("RSUs") vest on February 25, 2023.
7. Each RSU represents a contingent right to receive one share of Allison Transmission Holdings, Inc. common stock ("Common Stock"). RSUs earned dividend equivalents when dividends are declared on the Common Stock.
8. The RSUs vest in three equal annual installments beginning on February 10, 2022.
9. The RSUs vest in three equal annual installments beginning on February 23, 2023.
10. The dividend equivalent rights vest proportionately with the RSUs to which they relate. Each dividend equivalent right is the economic equivalent of one share of Common Stock.
/s/ Jacalyn C. Bolles, attorney-in-fact (power of attorney filed herewith) 03/22/2022
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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