0001579252-20-000035.txt : 20200327 0001579252-20-000035.hdr.sgml : 20200327 20200327161444 ACCESSION NUMBER: 0001579252-20-000035 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200323 FILED AS OF DATE: 20200327 DATE AS OF CHANGE: 20200327 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOBYLINSKI BRIAN CENTRAL INDEX KEY: 0001201642 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36051 FILM NUMBER: 20751953 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/A 1 wf-form4a_158534006484668.xml FORM 4/A X0306 4/A 2020-03-23 2020-03-25 0 0001579252 Jason Industries, Inc. JASN 0001201642 KOBYLINSKI BRIAN 833 EAST MICHIGAN STREET SUITE 900 MILWAUKEE WI 53202 1 1 0 1 President & CEO Chairman of the Board Common Stock 2020-03-23 4 M 0 119880 0 A 523556 D Common Stock 2020-03-23 4 M 0 60000 0 A 583556 D Common Stock 2020-03-23 4 F 0 84543 0.169 D 499013 D Restricted Stock Units 2020-03-23 4 M 0 119880 0 D Common Stock 119880.0 120240 D Restricted Stock Units 2020-03-23 4 M 0 60000 0 D Common Stock 60000.0 120000 D Restricted Stock Units Common Stock 128573.0 128573 D 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. 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, 2019, provided that the reporting person has not been terminated prior to the applicable 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. This amendment is being filed to report the shares of common stock that the reporting person surrendered to satisfy withholding taxes in connection with the vesting of Restricted Stock Units on March 23, 2020. /s/ James M. Reeves as attorney-in-fact 2020-03-27