0001209191-22-016792.txt : 20220307 0001209191-22-016792.hdr.sgml : 20220307 20220307175241 ACCESSION NUMBER: 0001209191-22-016792 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20220222 FILED AS OF DATE: 20220307 DATE AS OF CHANGE: 20220307 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gajial Mohammad Omer CENTRAL INDEX KEY: 0001914684 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39350 FILM NUMBER: 22719563 MAIL ADDRESS: STREET 1: 250 E. PARKCENTER BLVD. CITY: BOISE STATE: ID ZIP: 83706 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Albertsons Companies, Inc. CENTRAL INDEX KEY: 0001646972 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 0226 BUSINESS ADDRESS: STREET 1: 250 PARKCENTER BLVD. CITY: BOISE STATE: ID ZIP: 83706 BUSINESS PHONE: 208-395-6200 MAIL ADDRESS: STREET 1: 250 PARKCENTER BLVD. CITY: BOISE STATE: ID ZIP: 83706 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2022-02-22 0 0001646972 Albertsons Companies, Inc. ACI 0001914684 Gajial Mohammad Omer 250 E. PARKCENTER BLVD. BOISE ID 83706 0 1 0 0 EVP, Pharmacy & Health Class A common stock, par value $0.01 31433 D Performance-based Restricted Stock Units Class A common stock, par value $0.01 34013 D Performance-based Restricted Stock Units Class A common stock, par value $0.01 20129 D Time-based Restricted Stock Units Class A common stock, par value $0.01 73696 D Time-based Restricted Stock Units Class A common stock, par value $0.01 13568 D Time-based Restricted Stock Units Class A common stock, par value $0.01 25729 D Performance-based Restricted Stock Units Class A common stock, par value $0.01 25729 D Each performance-based restricted stock unit represents a contractual right to receive one share of Class A common stock of the Company. The awards will fully vest on February 25, 2023, as long as the reporting person remains continuously employed through the vesting date. These performance restricted stock units are subject to the attainment of performance goals for 2023 fiscal year of the Company. The reported number of performance restricted stock units represents the "target" amount of the award and the actual number of units earned will depend upon satisfaction of the performance goals. Each performance-based restricted stock unit represents a contractual right to receive one share of Class A common stock of the Company. The awards will fully vest on February 24, 2024, as long as the reporting person remains continuously employed through each vesting date. These performance restricted stock units are subject to the attainment of performance goals for the 2023 and 2024 fiscal years of the Company. The reported number of performance restricted stock units represents the "target" amount of the award and the actual number of units earned will depend upon satisfaction of the performance goals. Each time-based restricted stock unit represents a contractual right to receive one share of Class A common stock of the Company. The awards will vest in three equal annual installments which commenced on October 13, 2021, as long as the reporting person remains continuously employed through each vesting date. Each time-based restricted stock unit represents a contractual right to receive one share of Class A common stock of the Company. The awards will vest in three equal annual installments which commenced on February 26, 2022, as long as the reporting person remains continuously employed through each vesting date. Each time-based restricted stock unit represents a contractual right to receive one share of Class A common stock of Albertsons Companies, Inc. The awards will vest in three equal installments on February 25, 2023, February 24, 2024 and February 22, 2025 as long as the reporting person remains continuously employed through such respective date. Each performance-based restricted stock unit represents a contractual right to receive one share of Class A common stock of the Company. These performance restricted stock units are subject to the attainment of performance goals for the 2022, 2023 and 2024 fiscal years of the Company. The reported number of performance restricted stock units represents the "target" amount of the award and the actual number of units earned will depend upon satisfaction of the performance goals. /s/ Bipasha Mukherjee, attorney-in-fact 2022-03-04 EX-24 2 poa.txt POA DOCUMENT POWER OF ATTORNEY Known by all those present, that Muhammad Omer Gajial hereby constitutes and appoints each of Juliette W. Pryor and Bipasha Mukherjee as his/her true and lawful attorneys-in-fact with respect to Albertsons Companies, Inc. to: (1) prepare, execute in the undersigned's name and on the undersigned's behalf, and submit to the U.S. Securities and Exchange Commission (the 'SEC') a Form ID, including amendments thereto, and any other documents necessary or appropriate to obtain codes and passwords enabling the undersigned to make electronic filings with the SEC of reports required by Section 13 and 16(a) of the Securities Exchange Act of 1934, or any rule or regulation of the SEC; (2) execute for and on behalf of the undersigned Schedules 13D and 13G, and Forms 3, 4 and 5 in accordance with Sections 13 and 16(a) of the Securities Exchange Act of 1934 and the rules thereunder; (3) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Schedules 13D or 13G, and Forms 3, 4, and 5, complete and execute any amendment or amendments thereto, and timely file such form with the SEC and any stock exchange or similar authority; and (4) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, including without limitation the execution and filing of a Form 4 with respect to a transaction which may be reported on a Form 5, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney in fact's discretion. The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's designated substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming any of the undersigned's responsibilities to comply with Sections 13 and 16 of the Securities Exchange Act of 1934, as amended, and the rules thereunder. This Power of Attorney shall remain in full force and effect until revoked by the undersigned in a signed writing delivered to each foregoing attorney-in-fact. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 22nd day of February, 2022. /s/ Muhammad Omer Gajial Name: Muhammad Omer Gajial