0000904454-19-000020.txt : 20190107 0000904454-19-000020.hdr.sgml : 20190107 20190107161722 ACCESSION NUMBER: 0000904454-19-000020 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190103 FILED AS OF DATE: 20190107 DATE AS OF CHANGE: 20190107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BERNLOHR TIMOTHY J CENTRAL INDEX KEY: 0001286593 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04714 FILM NUMBER: 19513520 MAIL ADDRESS: STREET 1: 90 EAST HALSEY RD. CITY: PARSIPPANY STATE: NJ ZIP: 07054 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Skyline Champion Corp CENTRAL INDEX KEY: 0000090896 STANDARD INDUSTRIAL CLASSIFICATION: MOBILE HOMES [2451] IRS NUMBER: 351038277 STATE OF INCORPORATION: IN FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 2520 BY-PASS RD STREET 2: P O BOX 743 CITY: ELKHART STATE: IN ZIP: 46515 BUSINESS PHONE: 5742946521 MAIL ADDRESS: STREET 1: P O BOX 743 CITY: ELKHART STATE: IN ZIP: 46515 FORMER COMPANY: FORMER CONFORMED NAME: SKYLINE CORP DATE OF NAME CHANGE: 19920703 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2019-01-03 0000090896 Skyline Champion Corp SKY 0001286593 BERNLOHR TIMOTHY J C/O SKYLINE CHAMPION CORPORATION 2520 BY-PASS ROAD ELKHART IN 46514 1 0 0 0 Common Stock 2019-01-03 4 A 0 6667 0 A 57298 D Represents restricted stock units ("RSUs") granted to the Reporting Person under the Issuer's 2018 Equity Incentive Plan. Each RSU represents the contingent right to receive one share of Common Stock. Subject to the terms of the award agreement evidencing the grant of the RSUs, the RSUs vest in full on July 1, 2019, provided that the Reporting Person remains in continuous service with the Issuer through the vesting date. /s/ Roger K. Scholten, Attorney-in-Fact 2019-01-07