0000034563-17-000092.txt : 20171114 0000034563-17-000092.hdr.sgml : 20171114 20171114205051 ACCESSION NUMBER: 0000034563-17-000092 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171110 FILED AS OF DATE: 20171114 DATE AS OF CHANGE: 20171114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PETH RENE ELAINE CENTRAL INDEX KEY: 0001594863 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34249 FILM NUMBER: 171203681 MAIL ADDRESS: STREET 1: 20333 S NORMANDIE AVE CITY: TORRANCE STATE: CA ZIP: 90502 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FARMER BROTHERS CO CENTRAL INDEX KEY: 0000034563 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS FOOD PREPARATIONS & KINDRED PRODUCTS [2090] IRS NUMBER: 950725980 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 1912 FARMER BROTHERS DRIVE CITY: NORTHLAKE STATE: TX ZIP: 76262 BUSINESS PHONE: 888 998 2468 MAIL ADDRESS: STREET 1: P O BOX 77057 CITY: FORT WORTH STATE: TX ZIP: 76177 4 1 wf-form4_151071063586185.xml FORM 4 X0306 4 2017-11-10 0 0000034563 FARMER BROTHERS CO FARM 0001594863 PETH RENE ELAINE FARMER BROS CO. 1912 FARMER BROTHERS DRIVE NORTHLAKE TX 76262 0 0 0 1 VP, CORPORATE CONTROLLER Performance-Based Restricted Stock Units (PBRSUs) 31.7 2017-11-10 4 A 0 2664 0 A 2024-11-10 Common Stock 2664.0 2664 D Stock Option (right to buy) 31.7 2017-11-10 4 A 0 2664 0 A 2024-11-10 Common Stock 2664.0 15892 D Stock Option (right to buy) 32.85 2017-11-10 4 D 0 750 0 D 2023-11-10 Common Stock 750.0 15142 D Grant of performance-based restricted stock units ("PBRSUs") under the Farmer Bros. Co. 2017 Long-Term Incentive Plan (the "Plan"). The target number of PBRSUs is presented in the table. Subject to certain continued employment conditions and subject to accelerated vesting in certain circumstances, the PBRSUs are scheduled to vest based on achievement of certain financial performance goals for the performance period July 1, 2017 through June 30, 2020. At the end of the three-year performance period, the number of PBRSUs that actually vest will be 0% to 150% of the target amount, depending on the extent to which Farmer Bros. Co. meets or exceeds certain financial performance goals measured over the full three-year performance period. The maximum number of PBRSUs that may vest at the end of the three-year performance period is 3,396 (150% of the target amount). Grant of non-qualified stock option under the Plan; the stock option vests pursuant to a three year vesting schedule, whereby one-third of the total number of shares issuable under the option becomes exercisable each year on the anniversary of the grant date, commencing on November 10, 2018, subject to certain continued employment conditions and subject to accelerated vesting in certain circumstances. Forfeiture of performance-based non-qualified stock options ("PNQs") granted to the reporting person on 11/10/2016 under the Farmer Bros. Co. Amended and Restated 2007 Long-Term Incentive Plan that were eligible to vest based on time and the achievement of certain financial performance objectives. Upon grant, the target vesting amount was reported in Table II of Form 4 filed with the SEC on 11/14/2016. On 11/10/2017, based on the Issuer's failure to achieve certain financial performance objectives over the applicable performance period, a total of 750 PNQs were forfeited. Of the remaining 3,006 PNQs subject to the award, as of 11/10/2017, 1,002 PNQs have vested and 2,004 PNQs remain eligible to vest. Subject to certain continued employment conditions and subject to accelerated vesting in certain circumstances, one half of the remaining PNQs are scheduled to vest on each of 11/10/2018 and 11/10/2019. /s/Thomas J. Mattei, Jr., Attorney-In-Fact for Rene E. Peth 2017-11-14