0001209191-21-040959.txt : 20210616 0001209191-21-040959.hdr.sgml : 20210616 20210616170727 ACCESSION NUMBER: 0001209191-21-040959 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210615 FILED AS OF DATE: 20210616 DATE AS OF CHANGE: 20210616 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Stream William Gray CENTRAL INDEX KEY: 0001360802 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37788 FILM NUMBER: 211022251 MAIL ADDRESS: STREET 1: 2417 SHELL BEACH DRIVE CITY: LAKE CHARLES STATE: LA ZIP: 70601 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Waitr Holdings Inc. CENTRAL INDEX KEY: 0001653247 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 844 RYAN STREET STREET 2: SUITE 300 CITY: LAKE CHARLES STATE: LA ZIP: 70601 BUSINESS PHONE: 1-800-661-9036 MAIL ADDRESS: STREET 1: 844 RYAN STREET STREET 2: SUITE 300 CITY: LAKE CHARLES STATE: LA ZIP: 70601 FORMER COMPANY: FORMER CONFORMED NAME: Landcadia Holdings, Inc. DATE OF NAME CHANGE: 20150916 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-06-15 0 0001653247 Waitr Holdings Inc. WTRH 0001360802 Stream William Gray C/O WAITR HOLDINGS INC. 214 JEFFERSON STREET, SUITE 200 LAFAYETTE LA 70501 1 0 0 0 Common Stock 2021-06-15 4 M 0 200000 A 302964 D Common Stock 1474736 I See Footnotes Restricted Stock Units 2021-06-15 4 M 0 200000 0.00 D Common Stock 200000 0 D Restricted Stock Units 2021-06-15 4 A 0 120192 0.00 A Common Stock 120192 120192 D One share of common stock was issued upon the vesting of each restricted stock unit ("RSU"). William Gray Stream has voting and dispositive control over 100,000 shares held directly by Stream Family LP and over the shares owned by the entities named in footnotes (3) through (13). Accordingly, Mr. Stream may be deemed to have or share beneficial ownership of such shares. Mr. Stream disclaims any beneficial ownership of the reported shares other than to the extent of any pecuniary interest he may have therein, directly or indirectly. Mr. Stream has voting and dispositive control over 12,500 shares held directly by Matilda Gray Stream Trust FBO Sanders Griffin Hempel U/T/A DTD 05/31/2016. Mr. Stream has voting and dispositive control over 12,900 shares held directly by Matilda Gray Stream Trust FBO M Stream & Children U/A DTD 01/02/2012. Mr. Stream has voting and dispositive control over 16,000 shares held directly by Matilda Gray Stream Trust FBO Harold King Stream U/A DTD 11/25/2015. Mr. Stream has voting and dispositive control over 23,000 shares held directly by Matilda Gray Stream Trust FBO Fielder W Hempel U/A 12/06/2012. Mr. Stream has voting and dispositive control over 23,000 shares held directly by Matilda Gray Stream Trust FBO Geddings A Hempel UTA DTD 12/22/11. Mr. Stream has voting and dispositive control over 23,000 shares held directly by Matilda Gray Stream Trust FBO Lillian Stream U/A DTD 05/23/2012. Mr. Stream has voting and dispositive control over 31,000 shares held directly by Matilda Gray Stream Trust FBO Matilda Stream U/A DTD 07/26/2010. Mr. Stream has voting and dispositive control over 509,324 shares held directly by Stream Investment Holdings, LLC. Mr. Stream has voting and dispositive control over 617,049 shares held directly by Mithras, LLC. Mr. Stream has voting and dispositive control over 9,169 shares held directly by Steam Financial Services, LLC. Mr. Stream has voting and dispositive control over 97,794 shares held directly by Sierra Pelican, LLC. Each RSU represents a contingent right to receive one share of the Issuer's common stock or an equivalent amount in cash (or partly in cash and partly in shares). Such RSUs fully vest on the earlier of (i) the one year anniversary of the grant date, (ii) the date of the 2021 Annual Meeting of Stockholders of the Issuer and (iii) a Change in Control (as defined in the Waitr Holdings Inc. Amended and Restated 2018 Omnibus Incentive Plan), subject to, in each case, the Reporting Person's continued service on the Issuer's board of directors on the vesting date. Such RSUs fully vest on the earlier of (i) the one year anniversary of the grant date, (ii) the date of the 2022 Annual Meeting of Stockholders of the Issuer and (iii) a Change in Control (as defined in the Waitr Holdings Inc. Amended and Restated 2018 Omnibus Incentive Plan), subject to, in each case, the Reporting Person's continued service on the Issuer's board of directors on the vesting date. /s/ Annette L. Finch, Attorney-in-Fact 2021-06-16