0001579252-16-000218.txt : 20160919 0001579252-16-000218.hdr.sgml : 20160919 20160919162113 ACCESSION NUMBER: 0001579252-16-000218 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20160915 FILED AS OF DATE: 20160919 DATE AS OF CHANGE: 20160919 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: 833 EAST MICHIGAN STREET STREET 2: SUITE 900 CITY: MILWAUKEE STATE: WI ZIP: 53202 BUSINESS PHONE: 414-277-9300 MAIL ADDRESS: STREET 1: 833 EAST MICHIGAN STREET STREET 2: SUITE 900 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: QUINN JEFFRY N CENTRAL INDEX KEY: 0001174279 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36051 FILM NUMBER: 161891975 MAIL ADDRESS: STREET 1: 12935 NORTH FORTY DRIVE STREET 2: SUITE 201 CITY: ST. LOUIS STATE: MO ZIP: 63141 4 1 wf-form4_147431645358924.xml FORM 4 X0306 4 2016-09-15 0 0001579252 Jason Industries, Inc. JASN 0001174279 QUINN JEFFRY N 833 EAST MICHIGAN STREET SUITE 900 MILWAUKEE WI 53202 1 1 1 1 Chief Executive Officer Chairman of the Board Common Stock 2016-09-15 4 P 0 100700 2.1723 A 3853398 I See footnote Common Stock 97560 I By Jeffry Quinn, IRA Warrants 12.0 2014-08-14 2019-06-30 Common Stock 532551.0 532551 I See footnote The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $2.17 to $2.24. The reporting person has provided to the issuer, and will provide to any security holder of the issuer, or the SEC staff, upon request, information regarding the number of shares purchased at each price within the range for all transactions reported in this Form 4 utilizing an average weighted price. Includes 3,800,985 shares held by The Quinn Group, 26,207 shares held by the Jeffry N. Quinn Family Trust uad 8/10/2012 FBO Grace Quinn and 26,206 shares held by the Jeffry N. Quinn Family Trust uad 8/10/2012 FBO Sarah Quinn. Jeffry N. Quinn maintains control over the securities beneficially owned by the Jeffry N. Quinn Revocable Trust dated July 28, 2000, as amended, The Quinn Group, the Jeffry N. Quinn Family Trust uad 8/10/2012 FBO Grace Quinn and the Jeffry N. Quinn Family Trust uad 8/10/2012 FBO Sarah Quinn, and, consequently, Mr. Quinn may be deemed to be the beneficial owner of such securities. The Reporting Person disclaims beneficial ownership except to the extent of its pecuniary interest therein, and this report shall not be deemed an admission that such Reporting Person is the beneficial owner of the securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose. Includes 522,551 warrants held by The Quinn Group, 5,000 warrants held by the Jeffry N. Quinn Family Trust uad 8/10/2012 FBO Grace Quinn and 5,000 warrants held by the Jeffry N. Quinn Family Trust uad 8/10/2012 FBO Sarah Quinn. /s/ Thomas L. Doerr, Jr. as attorney-in-fact 2016-09-19 EX-24 2 jeffrynquinnpoa-12x9x2015.htm QUINN 12-15 POA

POWER OF ATTORNEY

       Know all by these presents that the undersigned hereby constitutes and appoints each of Thomas L. Doerr, Jr., General Counsel and Secretary, Sarah C. Sutton, Chief Financial Officer, and James M. Reeves, Corporate Counsel, signing singly, as the undersigned's true and lawful attorney-in-fact to:

       (1)    execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of Jason Industries, Inc., a Delaware corporation, or any successor thereto (the "Company"), Forms 3, 4 and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;

       (2)    do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4 or 5 and timely file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; and

       (3)    take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.

       The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that each such attorney-in-fact, or each such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.

       This Power of Attorney revokes any previous Power of Attorney filed with the Company for the purposes set forth herein and shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

       IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed this 9th day of December, 2015.


                            /s/ Jeffry N. Quinn
                            Jeffry N. Quinn