0000899243-17-002137.txt : 20170127
0000899243-17-002137.hdr.sgml : 20170127
20170127180622
ACCESSION NUMBER: 0000899243-17-002137
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170127
FILED AS OF DATE: 20170127
DATE AS OF CHANGE: 20170127
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: JELD-WEN Holding, Inc.
CENTRAL INDEX KEY: 0001674335
STANDARD INDUSTRIAL CLASSIFICATION: MILLWOOD, VENEER, PLYWOOD & STRUCTURAL WOOD MEMBERS [2430]
IRS NUMBER: 930496342
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 440 S. CHURCH STREET
STREET 2: SUITE 400
CITY: CHARLOTTE
STATE: NC
ZIP: 28202
BUSINESS PHONE: 704-378-5700
MAIL ADDRESS:
STREET 1: 440 S. CHURCH STREET
STREET 2: SUITE 400
CITY: CHARLOTTE
STATE: NC
ZIP: 28202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ross Matthew David
CENTRAL INDEX KEY: 0001695921
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38000
FILM NUMBER: 17555021
MAIL ADDRESS:
STREET 1: ONEX CORPORATION 712 FIFTH AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10019
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2017-01-27
0
0001674335
JELD-WEN Holding, Inc.
JELD
0001695921
Ross Matthew David
C/O ONEX CORPORATION 712 FIFTH AVENUE
NEW YORK
NY
10019
1
0
0
0
Common Stock
201
I
See footnote
Series A Preferred Stock
2016-05-31
Common Stock
2538
I
See footnote
Represents the reporting person's pecuniary interest in shares of Common Stock owned of record by Onex Partners III LP, Onex Partners II PV LP and Onex Partners III Select LP (the "Onex Entities"). Does not include a contingent pecuniary interest in additional shares, based on performance.
In each case, 78.5%, 5.0% and 16.5% of the reported shares of Common Stock represent shares issuable upon conversion of the Series A-1 Preferred Stock, Series A-2 Preferred Stock and Series A-3 Preferred Stock, respectively.
No expiration date.
Each share of Series A-1, Series A-2 and Series A-3 Preferred Stock is convertible into 1.567086, 1.416214 and 1.140649 shares of Common Stock, respectively, at any time, at the option of the holder. The Series A Preferred Stock has no expiration date. Immediately prior to the consummation of the initial public offering of the issuer's Common Stock, the Series A Preferred Stock is expected to be converted into Common Stock.
Represents the reporting person's pecuniary interest in shares of Common Stock issuable upon conversion of shares of Series A Preferred Stock owned of record by the Onex Entities. Does not include a contingent pecuniary interest in additional shares, based on performance.
/s/ Matthew D. Ross
2017-01-27