0001579252-18-000064.txt : 20180622
0001579252-18-000064.hdr.sgml : 20180622
20180622163231
ACCESSION NUMBER: 0001579252-18-000064
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180601
FILED AS OF DATE: 20180622
DATE AS OF CHANGE: 20180622
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HOTARD EDGAR GEORGE
CENTRAL INDEX KEY: 0001208957
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36051
FILM NUMBER: 18914899
MAIL ADDRESS:
STREET 1: 4747 RESEARCH FOREST DRIVE
STREET 2: SUITE 180-235
CITY: THE WOODLANDS
STATE: TX
ZIP: 77381
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_152969953543709.xml
FORM 4
X0306
4
2018-06-01
0
0001579252
Jason Industries, Inc.
JASN
0001208957
HOTARD EDGAR GEORGE
833 EAST MICHIGAN STREET
SUITE 900
MILWAUKEE
WI
53202
1
0
0
0
Common Stock
84341
I
See footnote
Common Stock
65800
I
By Edgar G. Hotard Management Trust Revocable Trust
Restricted Stock Units
2018-06-01
4
A
0
35185
0
A
Common Stock
35185.0
86076
D
Warrants
12.0
2014-08-14
2019-06-30
Common Stock
23000.0
23000
I
See footnote
Reported securities are held by Hotard Family Interests, Ltd. Reporting person does not have voting or dispositive control over such securities and disclaims beneficial ownership except to the extent of his pecuniary interest therein. 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.
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/ James M. Reeves as attorney-in-fact
2018-06-22