0001702744-17-000020.txt : 20170830 0001702744-17-000020.hdr.sgml : 20170830 20170830182323 ACCESSION NUMBER: 0001702744-17-000020 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170828 FILED AS OF DATE: 20170830 DATE AS OF CHANGE: 20170830 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Clark Jill M CENTRAL INDEX KEY: 0001715625 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38115 FILM NUMBER: 171061677 MAIL ADDRESS: STREET 1: 1050 17TH STREET STREET 2: SUITE 1500 CITY: DENVER STATE: CO ZIP: 80265 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Simply Good Foods Co CENTRAL INDEX KEY: 0001702744 STANDARD INDUSTRIAL CLASSIFICATION: FOOD & KINDRED PRODUCTS [2000] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 31 WEST 52ND STREET, 21ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10019 BUSINESS PHONE: 212-429-2211 MAIL ADDRESS: STREET 1: 31 WEST 52ND STREET, 21ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10019 4 1 wf-form4_150413179000775.xml FORM 4 X0306 4 2017-08-28 0 0001702744 Simply Good Foods Co SMPL 0001715625 Clark Jill M 1050 17TH STREET, SUITE 1500 DENVER CO 80265 0 1 0 0 Chief Customer Officer Options to Purchase Common Stock 12.0 2017-08-28 4 A 0 8360 0 A Common Stock 8360.0 8360 D Represents options to purchase common stock of the Issuer on a one to one basis awarded pursuant to the Issuer's 2017 Long Term Incentive Plan. Options vest and become exercisable in three equal installments on August 28, 2018, August 28, 2019 and August 28, 2020, subject to the recipient's continued service with the Company from the date of grant on August 28, 2017. The options expire on the ten-year anniversary of the award. /s/ Annita M. Menogan, as Attorney-in-Fact for Jill M. Clark 2017-08-30