0000899243-19-003008.txt : 20190208 0000899243-19-003008.hdr.sgml : 20190208 20190208160028 ACCESSION NUMBER: 0000899243-19-003008 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181205 FILED AS OF DATE: 20190208 DATE AS OF CHANGE: 20190208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Waitman Ted CENTRAL INDEX KEY: 0001360962 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36040 FILM NUMBER: 19579798 MAIL ADDRESS: STREET 1: SIXTY ONE WILTON ROAD STREET 2: SECOND FLOOR CITY: WESTPORT STATE: CT ZIP: 06880 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FOX FACTORY HOLDING CORP CENTRAL INDEX KEY: 0001424929 STANDARD INDUSTRIAL CLASSIFICATION: MOTORCYCLES, BICYCLES & PARTS [3751] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1230 BUSINESS ADDRESS: STREET 1: 915 DISC DRIVE CITY: SCOTTS VALLEY STATE: CA ZIP: 95066 BUSINESS PHONE: 831-274-6500 MAIL ADDRESS: STREET 1: 915 DISC DRIVE CITY: SCOTTS VALLEY STATE: CA ZIP: 95066 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2018-12-05 0 0 0 0001424929 FOX FACTORY HOLDING CORP FOXF 0001360962 Waitman Ted C/O FOX FACTORY HOLDING CORP. 6634 HIGHWAY 53 BRASELTON GA 30517 1 0 0 0 Common Stock 2018-12-05 5 G 0 3500 0.00 D 7708 D /s/ Ted Waitman, by David Haugen as attorney-in-fact 2019-02-08