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