0001579252-15-000104.txt : 20150903
0001579252-15-000104.hdr.sgml : 20150903
20150903162834
ACCESSION NUMBER: 0001579252-15-000104
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150901
FILED AS OF DATE: 20150903
DATE AS OF CHANGE: 20150903
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: Hyman James E
CENTRAL INDEX KEY: 0001316405
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36051
FILM NUMBER: 151092303
MAIL ADDRESS:
STREET 1: C/O MAC-GRAY CORPORATION
STREET 2: 404 WYMAN STREET, SUITE 400
CITY: WALTHAM
STATE: MA
ZIP: 02451
4
1
wf-form4_144131210350099.xml
FORM 4
X0306
4
2015-09-01
0
0001579252
Jason Industries, Inc.
JASN
0001316405
Hyman James E
411 EAST WISCONSIN AVENUE
SUITE 2100
MILWAUKEE
WI
53202
1
0
0
0
Common Stock
2015-09-01
4
A
0
15888
0
A
Common Stock
15888.0
15888
D
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
2015-09-03