0001702744-19-000005.txt : 20190110 0001702744-19-000005.hdr.sgml : 20190110 20190110161542 ACCESSION NUMBER: 0001702744-19-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190108 FILED AS OF DATE: 20190110 DATE AS OF CHANGE: 20190110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Short Jill M. CENTRAL INDEX KEY: 0001715625 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38115 FILM NUMBER: 19520406 MAIL ADDRESS: STREET 1: 1225 17TH STREET, SUITE 1000 CITY: DENVER STATE: CO ZIP: 80202 FORMER NAME: FORMER CONFORMED NAME: Clark Jill M DATE OF NAME CHANGE: 20170825 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: 0831 BUSINESS ADDRESS: STREET 1: 1225 17TH STREET STREET 2: SUITE 1000 CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: 303-633-2840 MAIL ADDRESS: STREET 1: 1225 17TH STREET STREET 2: SUITE 1000 CITY: DENVER STATE: CO ZIP: 80202 4 1 wf-form4_154715492413952.xml FORM 4 X0306 4 2019-01-08 0 0001702744 Simply Good Foods Co SMPL 0001715625 Short Jill M. 1225 17TH STREET, SUITE 1000 DENVER CO 80202 0 1 0 0 Chief Customer Officer Common Stock 2019-01-08 4 M 0 23283 12 A 49188 D Common Stock 2019-01-08 4 F 0 17266 18.94 D 31922 D Common Stock 2019-01-08 4 M 0 2786 12 A 34708 D Common Stock 2019-01-08 4 F 0 2013 18.94 D 32695 D Options to Purchase Common Stock 12.0 2019-01-08 4 M 0 23283 0 D 2027-07-14 Common Stock 23283.0 46563 D Options to Purchase Common Stock 12.0 2019-01-08 4 M 0 2786 0 D 2027-08-28 Common Stock 2786.0 5574 D Represents shares withheld by the issuer to cover the exercise price and tax withholding obligations upon the exercise of the options. The options vest in three equal annual installments beginning on July 14, 2018, subject to the reporting person's continuous service with the issuer as of each vesting date. The options vest in three equal annual installments beginning on August 28, 2018, subject to the reporting person's continuous service with the issuer as of each vesting date. /s/ Timothy A. Matthews, as Attorney-in-Fact for Jill M. Short 2019-01-10