0001579252-19-000101.txt : 20190702 0001579252-19-000101.hdr.sgml : 20190702 20190702161424 ACCESSION NUMBER: 0001579252-19-000101 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190701 FILED AS OF DATE: 20190702 DATE AS OF CHANGE: 20190702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HEFFERNAN JAMES P CENTRAL INDEX KEY: 0001240665 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36051 FILM NUMBER: 19937482 MAIL ADDRESS: STREET 1: 1012 BAY STREET CITY: DELRAY BEACH STATE: FL ZIP: 33483 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_156209844907267.xml FORM 4 X0306 4 2019-07-01 0 0001579252 Jason Industries, Inc. JASN 0001240665 HEFFERNAN JAMES P 833 EAST MICHIGAN STREET SUITE 900 MILWAUKEE WI 53202 1 0 0 0 Common Stock 53800 D Restricted Stock Units 2019-07-01 4 A 0 40000 0 A Common Stock 40000.0 126076 D 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 2019-07-02