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