0001209191-16-149325.txt : 20161110
0001209191-16-149325.hdr.sgml : 20161110
20161110161129
ACCESSION NUMBER: 0001209191-16-149325
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161108
FILED AS OF DATE: 20161110
DATE AS OF CHANGE: 20161110
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: J. Alexander's Holdings, Inc.
CENTRAL INDEX KEY: 0001617227
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812]
IRS NUMBER: 471608715
STATE OF INCORPORATION: TN
FISCAL YEAR END: 1228
BUSINESS ADDRESS:
STREET 1: 3401 WEST END AVENUE, SUITE 260
CITY: NASHVILLE
STATE: TN
ZIP: 37203
BUSINESS PHONE: 615-269-1900
MAIL ADDRESS:
STREET 1: 3401 WEST END AVENUE, SUITE 260
CITY: NASHVILLE
STATE: TN
ZIP: 37203
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ammerman Douglas K
CENTRAL INDEX KEY: 0001335360
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37473
FILM NUMBER: 161988158
MAIL ADDRESS:
STREET 1: 601 RIVERSIDE AVENUE
STREET 2: 12TH FLOOR
CITY: JACKSONVILLE
STATE: FL
ZIP: 32256
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-11-08
0
0001617227
J. Alexander's Holdings, Inc.
JAX
0001335360
Ammerman Douglas K
3401 WEST END AVENUE,
SUITE 260
NASHVILLE
TN
37203
1
0
0
0
Non-Qualified Stock Options
8.90
2016-11-08
4
A
0
20000
0.00
A
2023-11-08
Common Stock
20000
20000
D
The reporting person is a participant in the Issuer's 2015 Equity Incentive Plan and received a non-qualified stock option to purchase 20,000 shares of common stock of the Issuer on November 8, 2016. The non-qualified stock option vests in four equal installments over a period of four years beginning on the first anniversary of the grant date.
/s/ Jessica H. Root, Attorney-in-Fact
2016-11-10