0001209191-17-018689.txt : 20170307 0001209191-17-018689.hdr.sgml : 20170307 20170307154641 ACCESSION NUMBER: 0001209191-17-018689 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20160809 FILED AS OF DATE: 20170307 DATE AS OF CHANGE: 20170307 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Performance Food Group Co CENTRAL INDEX KEY: 0001618673 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & GENERAL LINE [5141] IRS NUMBER: 431983182 STATE OF INCORPORATION: DE FISCAL YEAR END: 0627 BUSINESS ADDRESS: STREET 1: 12500 WEST CREEK PARKWAY CITY: RICHMOND STATE: VA ZIP: 23238 BUSINESS PHONE: (804) 484-7700 MAIL ADDRESS: STREET 1: 12500 WEST CREEK PARKWAY CITY: RICHMOND STATE: VA ZIP: 23238 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: O'Connell Carol A. CENTRAL INDEX KEY: 0001653921 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-37578 FILM NUMBER: 17671865 MAIL ADDRESS: STREET 1: C/O PERFORMANCE FOOD GROUP COMPANY STREET 2: 12500 WEST CREEK PARKWAY CITY: RICHMOND STATE: VA ZIP: 23238 FORMER NAME: FORMER CONFORMED NAME: Price Carol A. DATE OF NAME CHANGE: 20150923 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2016-08-09 2016-08-11 0 0001618673 Performance Food Group Co PFGC 0001653921 O'Connell Carol A. 12500 WEST CREEK PARKWAY RICHMOND VA 23238 0 1 0 0 See Remarks Common Stock 2016-08-09 4 A 0 10304 0.00 A 71973 D Represents a grant of restricted stock that vests in four equal annual installments beginning on August 9, 2017. This Amendment is being filed to correct the number of securities beneficially owned following the transaction reported in Table I. The information was incorrectly reported in the original Form 4 filed on August 11, 2016 due to administrative error. Senior Vice President and Chief Human Resources Officer. Exhibit 24 - Power of Attorney /s/ A. Brent King, as Attorney-in-Fact 2017-03-07 EX-24.4A_710041 2 poa.txt POA DOCUMENT POWER OF ATTORNEY Know all by these presents that the undersigned does hereby make, constitute and appoint each of A. Brent King, Thomas G. Ondrof and Jeffery W. Fender, or any one of them, as a true and lawful attorney-in-fact and agent of the undersigned, with full powers of substitution and revocation, for and in the name, place and stead of the undersigned (in the undersigned's individual capacity), to execute and deliver such forms that the undersigned may be required to file with the U.S. Securities and Exchange Commission as a result of the undersigned's ownership of or transactions in securities of Performance Food Group Company (i) pursuant to Section 16(a) of the Securities Exchange Act of 1934, as amended, including without limitation, statements on Form 3, Form 4 and Form 5 (including any amendments thereto), and (ii) in connection with any applications for EDGAR access codes or any other documents necessary or appropriate to obtain codes and passwords enabling the undersigned to make electronic filings with the Securities and Exchange Commission, including without limitation the Form ID. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with regard to the undersigned's ownership of or transactions in securities of Performance Food Group Company, unless earlier revoked in writing. The undersigned acknowledges that A. Brent King, Thomas G. Ondrof and Jeffery W. Fender are not assuming any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934. By: /s/ Carol A. O'Connell ----------------------- Carol A. O'Connell Date: October 21, 2016 ------------------