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