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