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