0001104659-21-099240.txt : 20210803 0001104659-21-099240.hdr.sgml : 20210803 20210803103316 ACCESSION NUMBER: 0001104659-21-099240 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210723 FILED AS OF DATE: 20210803 DATE AS OF CHANGE: 20210803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sheetz Ashley F CENTRAL INDEX KEY: 0001695783 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37849 FILM NUMBER: 211138398 MAIL ADDRESS: STREET 1: AT HOME GROUP INC. STREET 2: 1600 EAST PLANO PARKWAY CITY: PLANO STATE: TX ZIP: 75074 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 tm2123866-8_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-07-23 1 0001646228 At Home Group Inc. HOME 0001695783 Sheetz Ashley F AT HOME GROUP INC. 1600 EAST PLANO PARKWAY PLANO TX 75074 0 1 0 0 Chief Marketing Officer Common Stock 2021-07-23 4 D 0 4712 D 2103 D Common Stock 2021-07-23 4 D 0 2103 37 D 0 D Employee Stock Option (Right to Buy) 15.77 2021-07-23 4 D 0 28226 21.23 D 2027-01-27 Common Stock 28226 0 D Employee Stock Option (Right to Buy) 31.56 2021-07-23 4 D 0 69636 5.44 D 2025-04-03 Common Stock 69636 0 D Employee Stock Option (Right to Buy) 17.83 2021-07-23 4 D 0 27311 19.17 D 2026-03-28 Common Stock 27311 0 D Employee Stock Option (Right to Buy) 8.95 2021-07-23 4 D 0 14800 28.05 D 2026-09-12 Common Stock 14800 0 D Employee Stock Option (Right to Buy) 7.58 2021-07-23 4 D 0 100000 29.42 D 2027-06-22 Common Stock 100000 0 D Employee Stock Option (Right to Buy) 27.28 2021-07-23 4 D 0 20832 9.72 D 2028-03-30 Common Stock 20832 0 D Pursuant to a rollover agreement entered into between the reporting person and Ambience Parent, Inc. ("Parent") in connection with the effectuation of the transactions contemplated by the amended and restated merger agreement between the issuer, Parent, and Ambience Merger Sub, Inc. (the "Merger Agreement"), the reporting person exchanged these shares for shares of Parent having an equivalent value as of the effective date of the merger, based on a market value of the issuer shares on the effective date of $37 per share. This amount consists of shares deliverable upon vesting and settlement of restricted stock units. These restricted stock units were cancelled pursuant to the Merger Agreement 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). This option was fully vested and exercisable as of the cancellation date. This option was cancelled pursuant to the Merger Agreement in exchange for a cash payment equal to, for each share subject to the option, the amount by which the market value of the underlying issuer common stock on the effective date of the merger ($37 per share) exceeded the per share exercise price of the option. This option was vested with respect to 44,222 shares and provided for vesting of the remainder of the option on April 3, 2022. This option was vested with respect to 13,646 shares and provided for vesting of the remainder of the option on March 28, 2022. This option provided for vesting on January 29, 2022. This option was vested with respect to 33,334 shares and provided for vesting of the remainder of the option in substantially equal annual installments on each of June 22, 2022 and June 22, 2023. The portion of this option that was vested or scheduled to vest on or before July 23, 2022 was cancelled pursuant to the Merger Agreement in exchange for a cash payment equal to, for each share subject to the option, the amount by which the market value of the underlying issuer common stock on the effective date of the merger ($37 per share) exceeded the per share exercise price of the option. The portion of this option scheduled to vest after July 23, 2022 was cancelled pursuant to the Merger Agreement in exchange for a deferred cash payment (or, at the election of the reporting person, a grant of Parent restricted stock or restricted stock units having a grant date value) equal to the amount by which the market value of the underlying issuer common stock on the effective date of the merger ($37 per share) exceeded the exercise price of the option, subject to vesting on the same schedule as the cancelled option. This option provided for vesting in three substantially equal annual installments beginning on March 30, 2022. /s/ Mary Jane Broussard, Attorney-in-Fact for Ashley F. Sheetz 2021-08-03