0001209191-20-065562.txt : 20201230
0001209191-20-065562.hdr.sgml : 20201230
20201230175737
ACCESSION NUMBER: 0001209191-20-065562
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201228
FILED AS OF DATE: 20201230
DATE AS OF CHANGE: 20201230
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SEIFFER JONATHAN A
CENTRAL INDEX KEY: 0001243592
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32349
FILM NUMBER: 201426946
MAIL ADDRESS:
STREET 1: 11111SANTA MONICA BLVD
STREET 2: STE 2000
CITY: LOS ANGELES
STATE: CA
ZIP: 90025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SIGNET JEWELERS LTD
CENTRAL INDEX KEY: 0000832988
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-JEWELRY STORES [5944]
IRS NUMBER: 000000000
FISCAL YEAR END: 0201
BUSINESS ADDRESS:
STREET 1: CLARENDON HOUSE
STREET 2: 2 CHURCH STREET
CITY: HAMILTON
STATE: D0
ZIP: HM11
BUSINESS PHONE: 44-207-317-9700
MAIL ADDRESS:
STREET 1: C/O 15 GOLDEN SQUARE
CITY: LONDON
STATE: X0
ZIP: W1F9JG
FORMER COMPANY:
FORMER CONFORMED NAME: SIGNET GROUP PLC
DATE OF NAME CHANGE: 19931213
FORMER COMPANY:
FORMER CONFORMED NAME: RATNERS GROUP PLC
DATE OF NAME CHANGE: 19931213
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-12-28
0
0000832988
SIGNET JEWELERS LTD
SIG
0001243592
SEIFFER JONATHAN A
11111 SANTA MONICA BOULEVARD
SUITE 2000
LOS ANGELES
CA
90025
1
0
1
0
Common Shares, par value $0.18
2020-12-28
4
A
0
472
0.00
A
15665
D
Series A Convertible Preference Shares
81.7682
Common Shares
7933792
625000
I
See footnote
Represents shares of Common Stock of the Issuer ("Common Shares") granted to Mr. Jonathan A. Seiffer on December 28, 2020 in lieu of the reporting person's quarterly board retainer fees that were temporarily reduced in response to the ongoing financial impact of the COVID-19 pandemic. Such common shares were issued in accordance with the Signet Jewelers Limited 2018 Omnibus Incentive Plan and were fully vested on the date of issuance. The Common Shares are held by Mr. Seiffer for the benefit of Leonard Green & Partners, L.P. ("LGP").
Represents Common Shares owned by Mr. Seiffer and held for the benefit of LGP, and includes 5,952 restricted stock units, which are subject to certain vesting and forfeiture provisions.
Series A Convertible Preference Shares, par value $0.01 per share ("Series A Preference Shares").
The Series A Preference Shares have a stated value of $1,037.97 and are convertible into Common Shares of the issuer at a current conversion price of $81.7682 per share at a conversion rate of 12.2297 Common Shares per Series A Preference Share. The conversion rate is subject to certain anti-dilution and other adjustments and is subject to change. Since the acquisition of the Series A Preference Shares, the conversion rate has been adjusted as a result of these anti-dilution adjustments.
Immediately.
The Series A Preference Shares do not have an expiration date.
Green Equity Investors VI, L.P. ("GEI VI"), Green Equity Investors Side VI, L.P. ("GEI Side VI"), LGP Associates VI-A LLC ("Associates VI-A") and LGP Associates VI-B LLC ("Associates VI-B") are the direct owners of the shares reported herein. Of the shares reported on this row, GEI VI is the direct owner of 387,522 Series A Preference Shares which are convertible into 4,919,231 Common Shares, GEI Side VI is the direct owner of 230,963 Series A Preference Shares which are convertible into 2,931,860 Common Shares, Associates VI-A is the direct owner of 470 Series A Preference Shares which are convertible into 5,966 Common Shares, and Associates VI-B is the direct owner of 6,045 Series A Preference Shares which are convertible into 76,735 Common Shares.
Mr. Seiffer directly (whether through ownership or position) or indirectly through one or more intermediaries, may be deemed for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, to be the indirect beneficial owner of the shares owned by GEI VI, GEI Side VI, Associates VI-A and Associates VI-B. Mr. Seiffer disclaims beneficial ownership of the shares reported herein except to the extent of his pecuniary interest therein and this report shall not be deemed an admission that he is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
/s/ Andrew Goldberg, as attorney-in-fact
2020-12-30