0001209191-15-027970.txt : 20150319 0001209191-15-027970.hdr.sgml : 20150319 20150319173608 ACCESSION NUMBER: 0001209191-15-027970 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150311 FILED AS OF DATE: 20150319 DATE AS OF CHANGE: 20150319 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Summit Materials, Inc. CENTRAL INDEX KEY: 0001621563 STANDARD INDUSTRIAL CLASSIFICATION: MINING, QUARRYING OF NONMETALLIC MINERALS (NO FUELS) [1400] IRS NUMBER: 471984212 STATE OF INCORPORATION: DE FISCAL YEAR END: 1227 BUSINESS ADDRESS: STREET 1: 1550 WYNKOOP STREET, 3RD FLOOR CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: 303-893-0012 MAIL ADDRESS: STREET 1: 1550 WYNKOOP STREET, 3RD FLOOR CITY: DENVER STATE: CO ZIP: 80202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hill Thomas W. CENTRAL INDEX KEY: 0001440948 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36873 FILM NUMBER: 15713816 MAIL ADDRESS: STREET 1: C/O SUMMIT MATERIALS, INC. STREET 2: 1550 WYNKOOP STREET, 3RD FLOOR CITY: DENVER STATE: CO ZIP: 80202 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-03-11 0 0001621563 Summit Materials, Inc. SUM 0001440948 Hill Thomas W. C/O SUMMIT MATERIALS, INC. 1550 WYNKOOP STREET, 3RD FLOOR DENVER CO 80202 1 1 0 0 President and CEO Class A Common Stock 2015-03-17 4 P 0 10000 18.00 A 10000 D LP Units of Summit Materials Holdings L.P. 2015-03-11 4 A 0 318994 A Class A Common Stock 318994 318994 D LP Units of Summit Materials Holdings L.P. 2015-03-11 4 A 0 1266265 A Class A Common Stock 1266265 1266265 I See Footnote Warrants 18.00 2015-03-11 4 A 0 29463 A 2025-03-11 Class A Common Stock 29463 29463 D Options (right to buy) 18.00 2015-03-11 4 A 0 559181 A 2025-03-11 Class A Common Stock 559181 559181 D Options (right to buy) 18.00 2015-03-11 4 A 0 726933 A 2025-03-11 Class A Common Stock 726933 726933 D Pursuant to the terms of an exchange agreement, dated as of March 11, 2015, the limited partnership units of Summit Materials Holdings L.P. ("LP Units") reported herein are exchangeable from and after the first anniversary of the closing of the issuer's initial public offering (subject to the terms of the exchange agreement and vesting requirements, including certain vesting events more fully described in the issuer's Registration Statement on Form S-1 (File No. 333-201058) (the "Registration Statement")) for shares of the issuer's Class A common stock on a one-for-one basis. These securities were acquired in connection with the reclassification of the interests of Summit Material Holdings L.P. prior to the issuer's initial public offering (as more fully described in the Registration Statement). Reflects securities held by a trust for the benefit of Mr. Hill's family, for which Mr. Hill's spouse serves as trustee. The warrants are exercisable beginning on the first anniversary of the closing of the issuer's initial public offering. The options vest in four equal annual installments beginning on March 11, 2016. The options vest upon the achievement of certain vesting events more fully described in the Registration Statement. The Reporting Person disclaims beneficial ownership of the securities reported herein as indirectly beneficially owned, except to the extent of his pecuniary interest therein. /s/Anne Lee Benedict, as Attorney-in-Fact 2015-03-19