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