0001140361-22-046188.txt : 20221219 0001140361-22-046188.hdr.sgml : 20221219 20221219203219 ACCESSION NUMBER: 0001140361-22-046188 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221214 FILED AS OF DATE: 20221219 DATE AS OF CHANGE: 20221219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Perry Jeffery S. CENTRAL INDEX KEY: 0001835744 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41545 FILM NUMBER: 221472667 MAIL ADDRESS: STREET 1: 520 LAKE COOK ROAD STREET 2: SUITE 300 CITY: DEERFIELD STATE: IL ZIP: 60015 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MasterBrand, Inc. CENTRAL INDEX KEY: 0001941365 STANDARD INDUSTRIAL CLASSIFICATION: WOOD HOUSEHOLD FURNITURE, (NO UPHOLSTERED) [2511] IRS NUMBER: 883479920 STATE OF INCORPORATION: DE FISCAL YEAR END: 1225 BUSINESS ADDRESS: STREET 1: ONE MASTERBRAND CABINETS DRIVE CITY: JASPER STATE: IN ZIP: 47546 BUSINESS PHONE: 812-482-2527 MAIL ADDRESS: STREET 1: ONE MASTERBRAND CABINETS DRIVE CITY: JASPER STATE: IN ZIP: 47546 4 1 form4.xml X0306 4 2022-12-14 0001941365 MasterBrand, Inc. MBC 0001835744 Perry Jeffery S. ONE MASTERBRAND CABINETS DRIVE JASPER IN 47546 true Common Stock, par value $0.01 per share 3307 D In connection with the separation of the Issuer from Fortune Brands Home & Security, Inc. ("FBHS"), effective December 14, 2022 (the "Spin-Off"), each FHBS shareholder received a pro-rata dividend in the form of one share of the Issuer's common stock ("Common Stock") for each share of FBHS common stock held by such shareholder on the record date of December 2, 2022. The Reporting Person acquired these shares of Common Stock in connection with the Spin-Off and such acquisitions were exempt from Section 16 of the Securities Exchange Act of 1934, as amended ("Exchange Act") pursuant to Rule 16a-9 under the Exchange Act. This Form 4 is being filed voluntarily. /s/ Andrean Horton, attorney-in-fact for Jeffery S. Perry 2022-12-19