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