0001424929-21-000086.txt : 20210702 0001424929-21-000086.hdr.sgml : 20210702 20210702164615 ACCESSION NUMBER: 0001424929-21-000086 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200507 FILED AS OF DATE: 20210702 DATE AS OF CHANGE: 20210702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Waitman Ted CENTRAL INDEX KEY: 0001360962 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36040 FILM NUMBER: 211070901 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: 1231 BUSINESS ADDRESS: STREET 1: 6634 HWY 53 CITY: BRASELTON STATE: GA ZIP: 30517 BUSINESS PHONE: 831-274-6500 MAIL ADDRESS: STREET 1: 6634 HWY 53 CITY: BRASELTON STATE: GA ZIP: 30517 4/A 1 wf-form4a_162525875016144.xml FORM 4/A X0306 4/A 2020-05-07 2020-05-11 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 2020-05-07 4 A 0 2122 0 A 11158 D The Reporting Person received a grant of restricted stock units pursuant to the Issuer's Non-Employee Director Compensation Policy. The restricted stock units vested on the day before the Issuer's 2021 annual meeting. On May 11, 2020, the Reporting Person filed a Form 4 (the "Original Form 4"), which inadvertently reported the amount of securities beneficially owned directly by such Reporting Person following the reported transaction was 13,004 shares of common stock, when in fact, the amount should have been 11,158 shares of common stock (an overreporting of 1,846 shares of common stock). The Original Form 4 is being amended by this Form 4/A solely to correct such amount. The subsequent Form 4 filed by the Reporting Person on May 11, 2021 also overreported the 1,846 shares of common stock. /s/ Ted D. Waitman 2021-07-02