0001579252-15-000106.txt : 20150910 0001579252-15-000106.hdr.sgml : 20150910 20150910164856 ACCESSION NUMBER: 0001579252-15-000106 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150909 FILED AS OF DATE: 20150910 DATE AS OF CHANGE: 20150910 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: 411 E. WISCONSIN AVENUE STREET 2: SUITE 2100 CITY: MILWAUKEE STATE: WI ZIP: 53202 BUSINESS PHONE: 414-277-9445 MAIL ADDRESS: STREET 1: 411 E. WISCONSIN AVENUE STREET 2: SUITE 2100 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: QUAIN MITCHELL I CENTRAL INDEX KEY: 0001213693 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36051 FILM NUMBER: 151101623 MAIL ADDRESS: STREET 1: 1 BRISTOL ROAD CITY: MIDDLEBURY STATE: CT ZIP: 06762 4 1 wf-form4_144191812690081.xml FORM 4 X0306 4 2015-09-09 0 0001579252 Jason Industries, Inc. JASN 0001213693 QUAIN MITCHELL I 411 EAST WISCONSIN AVENUE SUITE 2100 MILWAUKEE WI 53202 1 0 0 0 Common Stock 2015-09-09 4 P 0 3000 4.8881 A 3000 I By IRA Common Stock 2015-09-09 4 P 0 12900 4.8619 A 12900 I By Profit Sharing Account Restricted Stock Units Common Stock 15888.0 15888 D The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $4.854399 to $4.887862. 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 the weighted average price. Each restricted stock unit represents a right to receive one share of Jason Industries, Inc. common stock, the cash equivalent of one share of Jason Industries, Inc. common stock or a combination thereof if certain conditions are satisfied. 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 2015-09-10