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