0001579252-15-000059.txt : 20150709
0001579252-15-000059.hdr.sgml : 20150709
20150709164324
ACCESSION NUMBER: 0001579252-15-000059
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150709
FILED AS OF DATE: 20150709
DATE AS OF CHANGE: 20150709
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Jason Industries, Inc.
CENTRAL INDEX KEY: 0001579252
STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS MANUFACTURING INDUSTRIES [3990]
IRS NUMBER: 462888322
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 411 E. WISCONSIN AVENUE
STREET 2: SUITE 2100
CITY: MILWAUKEE
STATE: WI
ZIP: 53202
BUSINESS PHONE: 414-277-9445
MAIL ADDRESS:
STREET 1: 411 E. WISCONSIN AVENUE
STREET 2: SUITE 2100
CITY: MILWAUKEE
STATE: WI
ZIP: 53202
FORMER COMPANY:
FORMER CONFORMED NAME: Quinpario Acquisition Corp.
DATE OF NAME CHANGE: 20130613
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: JENKINS ROBERT H
CENTRAL INDEX KEY: 0001017662
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36051
FILM NUMBER: 15981871
MAIL ADDRESS:
STREET 1: PO BOX 7003
CITY: ROCKFORD
STATE: IL
ZIP: 61125-7003
4
1
wf-form4_143647458559951.xml
FORM 4
X0306
4
2015-07-09
0
0001579252
Jason Industries, Inc.
JASN
0001017662
JENKINS ROBERT H
411 EAST WISCONSIN AVE
SUITE 2100
MILWAUKEE
WI
53202
1
0
0
0
Restricted Stock Units
2015-07-09
4
A
0
14707
0
A
Common Stock
14707.0
24334
D
Each restricted stock unit represents a right to receive one share of Jason Industries, Inc. common stock, the cash equivalent of one share of Jason Industries, Inc. common stock or a combination thereof if certain conditions are satisfied.
The restricted stock units vest on the one (1) year anniversary of the applicable grant date, assuming continued service. The board of directors or applicable committee of the board may, in its sole discretion, provide for accelerated vesting of the restricted stock units at any time and for any reason. Subject to the board or board committee's discretion to accelerate vesting, all unvested restricted stock units shall be immediately forfeited upon the reporting person's termination of service for any reason. Additionally, all restricted stock units shall become fully vested upon the occurrence of a change of control of Jason Industries, Inc., provided that the reporting person has not been terminated prior to such change of control. Vested restricted stock units will settle in the form of shares of common stock, cash or a combination thereof on the date that is six (6) months following the date of termination of service.
/s/ William P. Schultz as attorney-in-fact
2015-07-09