0001424929-22-000002.txt : 20220208 0001424929-22-000002.hdr.sgml : 20220208 20220208161331 ACCESSION NUMBER: 0001424929-22-000002 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211216 FILED AS OF DATE: 20220208 DATE AS OF CHANGE: 20220208 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: 22601727 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: 2055 SUGARLOAF CIRCLE, SUITE 300 CITY: DULUTH STATE: GA ZIP: 30097 BUSINESS PHONE: 831-274-6500 MAIL ADDRESS: STREET 1: 2055 SUGARLOAF CIRCLE, SUITE 300 CITY: DULUTH STATE: GA ZIP: 30097 4/A 1 wf-form4a_164435477893486.xml FORM 4/A X0306 4/A 2021-12-16 2021-12-20 0 0001424929 FOX FACTORY HOLDING CORP FOXF 0001360962 Waitman Ted C/O FOX FACTORY HOLDING CORP. 2055 SUGARLOAF CIRCLE, SUITE 300 DULUTH GA 30097 1 0 0 0 Common Stock 2021-12-16 4 G 0 2250 0 D 9719 D Common Stock 2021-12-16 4 G 0 2250 0 D 7469 D Represents a bona fide gift of shares of common stock to a Charitable Remainder Trust by the Reporting Person. On December 20, 2021, 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 9,469 shares of common stock, when in fact, the amount should have been 9,719 shares of common stock (an underreporting of 250 shares of common stock). The Original Form 4 is being amended by this Form 4/A solely to correct such amount. Represents a bona fide gift of shares of common stock to a separate Charitable Remainder Trust by the Reporting Person. On December 20, 2021, 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 6,969 shares of common stock, when in fact, the amount should have been 7,469 shares of common stock (an underreporting of 500 shares of common stock). The Original Form 4 is being amended by this Form 4/A solely to correct such amount. /s/ Ted D. Waitman 2022-02-08