0001579252-18-000040.txt : 20180430 0001579252-18-000040.hdr.sgml : 20180430 20180430170942 ACCESSION NUMBER: 0001579252-18-000040 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180427 FILED AS OF DATE: 20180430 DATE AS OF CHANGE: 20180430 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOBYLINSKI BRIAN CENTRAL INDEX KEY: 0001201642 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36051 FILM NUMBER: 18791108 MAIL ADDRESS: STREET 1: 833 EAST MICHIGAN STREET STREET 2: SUITE 900 CITY: MILWAUKEE STATE: WI ZIP: 53202 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 4 1 wf-form4_152512256917578.xml FORM 4 X0306 4 2018-04-27 0 0001579252 Jason Industries, Inc. JASN 0001201642 KOBYLINSKI BRIAN 833 EAST MICHIGAN STREET SUITE 900 MILWAUKEE WI 53202 0 1 0 0 President & CEO Common Stock 2018-04-27 4 M 0 19794 2.78 A 149588 D Restricted Stock Units 2018-04-27 4 M 0 19794 0 D Common Stock 19794.0 19793 D Restricted Stock Units Common Stock 110000.0 110000 D Restricted Stock Units Common Stock 257145.0 257145 D Restricted Stock Units Common Stock 360000.0 360000 D The time-vesting restricted stock units vest in equal one-third (1/3) installments on each of the first three (3) anniversaries following April 27, 2016, provided that the reporting person has not been terminated prior to the applicable vesting date. The cliff-vesting restricted stock units vest on the third anniversary of the applicable grant date, provided that the reporting person has not been terminated or the restricted stock units have not previously been forfeited prior to the vesting date. The time-vesting restricted stock units vest in two equal installments with the first vesting date being January 5, 2019 and the second vesting date being July 5, 2020, provided that the reporting person has not been terminated prior to the applicable vesting date. Subject to stockholder approval of amendments to the Company's 2014 Omnibus Incentive Plan at the Company's annual meeting to be held on May 16, 2018. The time-vesting restricted stock units vest in equal one-third (1/3) installments on each of the first three (3) anniversaries following March 23, 2018, provided that the reporting person has not been terminated prior to the applicable vesting date. /s/ James M. Reeves as attorney-in-fact 2018-04-30