0000899243-19-029283.txt : 20191216 0000899243-19-029283.hdr.sgml : 20191216 20191216165446 ACCESSION NUMBER: 0000899243-19-029283 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191216 FILED AS OF DATE: 20191216 DATE AS OF CHANGE: 20191216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Orth Teresa CENTRAL INDEX KEY: 0001765436 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34507 FILM NUMBER: 191287799 MAIL ADDRESS: STREET 1: C/O VITAMIN SHOPPE, INC. STREET 2: 300 HARMON MEADOW BLVD. - 5TH FLOOR CITY: SECAUCUS STATE: NJ ZIP: 07094 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Vitamin Shoppe, Inc. CENTRAL INDEX KEY: 0001360530 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-FOOD STORES [5400] IRS NUMBER: 113664322 STATE OF INCORPORATION: DE FISCAL YEAR END: 1229 BUSINESS ADDRESS: STREET 1: THE VITAMIN SHOPPE STREET 2: 300 HARMON MEADOW BLVD. CITY: SECAUCUS STATE: NJ ZIP: 07094 BUSINESS PHONE: 2018685959 MAIL ADDRESS: STREET 1: THE VITAMIN SHOPPE STREET 2: 300 HARMON MEADOW BLVD. CITY: SECAUCUS STATE: NJ ZIP: 07094 FORMER COMPANY: FORMER CONFORMED NAME: VS HOLDINGS, INC. DATE OF NAME CHANGE: 20060425 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-12-16 1 0001360530 Vitamin Shoppe, Inc. VSI 0001765436 Orth Teresa C/O VITAMIN SHOPPE, INC. 300 HARMON MEADOW BLVD. SECAUCUS NJ 07094 0 1 0 0 SVP - Human Resources Common Stock, par value $0.01 2019-12-16 4 D 0 22125 6.50 D 29368 D Common Stock, par value $0.01 2019-12-16 4 D 0 29368 6.50 D 0 D Stock Option (right to buy) 55.13 2019-12-16 4 D 0 10000 0.00 D 2022-08-01 Common Stock 10000 0 D Stock Option (right to buy) 30.26 2019-12-16 4 D 0 8012 0.00 D 2026-03-08 Common Stock 8012 0 D Disposed of pursuant to the Agreement and Plan of Merger dated as of August 7, 2019, by and among Vitamin Shoppe, Inc., Franchise Group, Inc. (formerly known as Liberty Tax, Inc.) ("Parent") and Valor Acquisition, LLC ("Merger Sub"), a wholly owned subsidiary of Parent, as amended by the First Amendment to Agreement and Plan of Merger dated November 11, 2019 (as amended, the "Merger Agreement"), pursuant to which Vitamin Shoppe, Inc. merged with and into Merger Sub (the "Merger") effective December 16, 2019. Pursuant to the Merger Agreement, each restricted stock award outstanding immediately prior to the effective time of the Merger was canceled and converted into the right to receive an amount in cash, without interest, equal to (i) $6.50 multiplied by (ii) the total number of shares of common stock subject thereto. These options were canceled in the Merger in exchange for no consideration. /s/ David M. Kastin 2019-12-16