0001209191-19-018582.txt : 20190311
0001209191-19-018582.hdr.sgml : 20190311
20190311185306
ACCESSION NUMBER: 0001209191-19-018582
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190307
FILED AS OF DATE: 20190311
DATE AS OF CHANGE: 20190311
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Benjamin Gerald R.
CENTRAL INDEX KEY: 0001740343
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38506
FILM NUMBER: 19673512
MAIL ADDRESS:
STREET 1: 5565 GLENRIDGE CONNECTOR, SUITE 700
CITY: ATLANTA
STATE: GA
ZIP: 30342
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: GreenSky, Inc.
CENTRAL INDEX KEY: 0001712923
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 822135346
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5565 GLENRIDGE CONNECTOR
STREET 2: SUITE 700
CITY: ATLANTA
STATE: GA
ZIP: 30342
BUSINESS PHONE: 678-264-6105
MAIL ADDRESS:
STREET 1: 5565 GLENRIDGE CONNECTOR
STREET 2: SUITE 700
CITY: ATLANTA
STATE: GA
ZIP: 30342
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-03-07
0
0001712923
GreenSky, Inc.
GSKY
0001740343
Benjamin Gerald R.
5565 GLENRIDGE CONNECTOR, SUITE 700
ATLANTA
GA
30342
1
1
0
0
Chief Administrative Officer
Class A common stock
2019-03-07
4
A
0
71713
0.00
A
71713
D
Class A common stock
2019-03-07
4
A
0
133188
0.00
A
204901
D
Class B common stock
978933.54
D
Class B common stock
199144.33
I
By LLC
Stock Option (right to buy)
12.55
2019-03-07
4
A
0
227275
0.00
A
2029-03-07
Class A common stock
227275
227275
D
Holdco Units
Class A common stock
978933.54
978933.54
D
Holdco Units
Class A common stock
199144.33
199144.33
I
By LLC
Grant of restricted stock, which will vest in three substantially equal installments on March 7, 2020, March 7, 2021, and March 7, 2022.
Grant of restricted stock, which will vest in four equal installments on March 7, 2020, March 7, 2021, March 7, 2022, and March 7, 2023.
The Class B common stock entitles holders to ten votes per share, votes as a single class with the Class A common stock, has no economic rights and is subject to forfeiture upon exchange of the Reporting Person's Holdco Units as described below.
The amount has been adjusted to reflect the actual amount of securities received upon redemption by Founders Technology Investors, LLC.
The stock option vests in four equal installments on March 7, 2020, March 7, 2021, March 7, 2022, and March 7, 2023.
Pursuant to the Exchange Agreement, dated May 23, 2018, by and among the Issuer, GreenSky Holdings, LLC ("GS Holdings") and the members of GS Holdings, the Holdco Units may be exchanged by the Reporting Person (with automatic cancellation of an equal number of shares of Class B common stock) for shares of Class A common stock on a one-for-one basis, subject to customary adjustments for stock splits, stock dividends, reclassifications and other similar transactions, stock repurchases and other reinvestments of excess cash, or for cash (based on the market price of the shares of Class A common stock), at the Issuer's option.
/s/ Robert Partlow, as attorney-in-fact
2019-03-11