0001674335-17-000066.txt : 20171115 0001674335-17-000066.hdr.sgml : 20171115 20171115212450 ACCESSION NUMBER: 0001674335-17-000066 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171113 FILED AS OF DATE: 20171115 DATE AS OF CHANGE: 20171115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HACHIGIAN KIRK S CENTRAL INDEX KEY: 0001210484 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38000 FILM NUMBER: 171206539 MAIL ADDRESS: STREET 1: C/O COOPER INDUSTRIES INC STREET 2: 600 TRAVIS STE 5800 CITY: HOUSTON STATE: TX ZIP: 77002 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: JELD-WEN Holding, Inc. CENTRAL INDEX KEY: 0001674335 STANDARD INDUSTRIAL CLASSIFICATION: MILLWOOD, VENEER, PLYWOOD & STRUCTURAL WOOD MEMBERS [2430] IRS NUMBER: 931273278 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 440 S. CHURCH STREET STREET 2: SUITE 400 CITY: CHARLOTTE STATE: NC ZIP: 28202 BUSINESS PHONE: 704-378-5700 MAIL ADDRESS: STREET 1: 440 S. CHURCH STREET STREET 2: SUITE 400 CITY: CHARLOTTE STATE: NC ZIP: 28202 4 1 wf-form4_151079907469432.xml FORM 4 X0306 4 2017-11-13 0 0001674335 JELD-WEN Holding, Inc. JELD 0001210484 HACHIGIAN KIRK S JELD-WEN HOLDING, INC. 440 S. CHURCH STREET, SUITE 400 CHARLOTTE NC 28202 1 0 0 1 Chairman Common Stock 2017-11-13 4 M 0 92664 18.79 A 125166 D Common Stock 2017-11-13 4 M 0 185328 14.07 A 310494 D Common Stock 2017-11-13 4 M 0 337564 10.76 A 648058 D Common Stock 2017-11-13 4 M 0 675128 6.74 A 1323186 D Common Stock 2017-11-13 4 F 0 753227 35.49 D 569959 D Common Stock Option (Right to Buy) 18.79 2017-11-13 4 M 0 92664 0 D 2024-04-01 Common Stock 92664.0 0 D Common Stock Option (Right to Buy) 14.07 2017-11-13 4 M 0 185328 0 D 2024-04-01 Common Stock 185328.0 0 D Class B-1 Stock Option (Right to Buy) 10.76 2017-11-13 4 M 0 337564 0 D 2024-04-01 Common Stock 337564.0 0 D Class B-1 Stock Option (Right to Buy) 6.74 2017-11-13 4 M 0 675128 0 D 2025-11-30 Common Stock 675128.0 0 D Shares reported were withheld for payment of the costs and taxes associated with the option exercises described in Table II. Options vested fully on April 1, 2016. Options vested fully on April 1, 2017. Immediately prior to the consummation of the initial public offering of the issuer's Common Stock, Class B-1 Stock Options became exercisable for Common Stock (the "Class B-1 Conversion"). The number of options and the applicable exercise prices are presented on a post-Class B-1 Conversion basis. The expiration date for these options was previously reported as 11/30/2025; however, the actual expiration date is 04/01/2024. /s/ Laura W. Doerre, Attorney-in-Fact for Kirk S Hachigian 2017-11-15