0001209191-23-004688.txt : 20230124
0001209191-23-004688.hdr.sgml : 20230124
20230124190815
ACCESSION NUMBER: 0001209191-23-004688
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221114
FILED AS OF DATE: 20230124
DATE AS OF CHANGE: 20230124
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gajial Omer
CENTRAL INDEX KEY: 0001914684
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39350
FILM NUMBER: 23549353
MAIL ADDRESS:
STREET 1: 250 E. PARKCENTER BLVD.
CITY: BOISE
STATE: ID
ZIP: 83706
FORMER NAME:
FORMER CONFORMED NAME: Gajial Mohammad Omer
DATE OF NAME CHANGE: 20220303
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: 0225
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
4/A
1
doc4a.xml
FORM 4/A SUBMISSION
X0306
4/A
2022-11-14
2022-11-16
0
0001646972
Albertsons Companies, Inc.
ACI
0001914684
Gajial Omer
C/O ALBERTSONS COMPANIES, INC.
250 E. PARKCENTER BLVD..
BOISE
ID
83706
0
1
0
0
EVP, Pharmacy & Health
Dividend Equivalent Units
2022-11-14
4
A
0
79
0.00
A
Class A common stock, par value $0.01
79
27027
D
Restricted stock units ("RSUs") credited to the reporting person's account as dividend equivalents on accrued performance based RSUs. The reported number was calculated based on the closing price of the issuer's common stock on the dividend payment date. These RSUs will vest and settle with the underlying awards.
The original Form 4 filed on November 16, 2022 is being amended solely to correct an administrative error which misreported the ownership of the total number of derivate securities following the reported transaction.
/s/ Juliette Pryor, Attorney-in-Fact
2023-01-24