0001104659-21-099243.txt : 20210803
0001104659-21-099243.hdr.sgml : 20210803
20210803104042
ACCESSION NUMBER: 0001104659-21-099243
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210722
FILED AS OF DATE: 20210803
DATE AS OF CHANGE: 20210803
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Barbarick Steve K
CENTRAL INDEX KEY: 0001559824
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37849
FILM NUMBER: 211138418
MAIL ADDRESS:
STREET 1: TRACTOR SUPPLY COMPANY
STREET 2: 5401 VIRGINIA WAY
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: At Home Group Inc.
CENTRAL INDEX KEY: 0001646228
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-HOME FURNITURE, FURNISHINGS & EQUIPMENT STORES [5700]
IRS NUMBER: 453229563
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0129
BUSINESS ADDRESS:
STREET 1: AT HOME GROUP INC.
STREET 2: 1600 EAST PLANO PARKWAY
CITY: PLANO
STATE: TX
ZIP: 75074
BUSINESS PHONE: (972) 265-6227
MAIL ADDRESS:
STREET 1: 1600 EAST PLANO PARKWAY
CITY: PLANO
STATE: TX
ZIP: 75074
4
1
tm2123866-10_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-07-22
1
0001646228
At Home Group Inc.
HOME
0001559824
Barbarick Steve K
AT HOME GROUP INC.
1600 EAST PLANO PARKWAY
PLANO
TX
75074
1
0
0
0
Common Stock
2021-07-22
4
U
0
34934
37
D
5132
D
Common Stock
2021-07-23
4
D
0
5132
37
D
0
D
This amount consists of shares deliverable upon vesting and settlement of restricted stock units.
These restricted stock units were cancelled pursuant to the amended and restated merger agreement between issuer, Ambience Parent, Inc. and Ambience Merger Sub, Inc. in exchange for a cash payment equal to the market value of the underlying issuer common stock on the effective date of the merger ($37 per share).
/s/ Mary Jane Broussard, Attorney-in-Fact for Steve K. Barbarick
2021-08-03