0001209191-17-003329.txt : 20170111 0001209191-17-003329.hdr.sgml : 20170111 20170111134005 ACCESSION NUMBER: 0001209191-17-003329 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170111 DATE AS OF CHANGE: 20170111 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AdvancePierre Foods Holdings, Inc. CENTRAL INDEX KEY: 0001669792 STANDARD INDUSTRIAL CLASSIFICATION: FOOD & KINDRED PRODUCTS [2000] IRS NUMBER: 263712208 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9987 CARVER ROAD CITY: BLUE ASH STATE: OH ZIP: 45242 BUSINESS PHONE: (800) 969-2747 MAIL ADDRESS: STREET 1: 9987 CARVER ROAD CITY: BLUE ASH STATE: OH ZIP: 45242 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Simons John Nelson Jr CENTRAL INDEX KEY: 0001345899 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37826 FILM NUMBER: 17522619 MAIL ADDRESS: STREET 1: 7931 EAGLE RANCH ROAD CITY: FT. COLLINS STATE: CO ZIP: 80528 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2016-12-31 0 0 0 0001669792 AdvancePierre Foods Holdings, Inc. APFH 0001345899 Simons John Nelson Jr C/O ADVANCEPIERRE FOODS HOLDINGS, INC. 9987 CARVER ROAD, SUITE 500 BLUE ASH OH 45242 1 1 0 0 CEO Common Stock 2016-12-15 5 G 0 35000 0.00 D 2033896 D This transaction was a charitable gift of securities by the reporting person. /s/ Linn S. Harson, Attorney-in-Fact, pursuant to a previously filed Power of Attorney 2017-01-11