0001209191-19-043941.txt : 20190801
0001209191-19-043941.hdr.sgml : 20190801
20190801111034
ACCESSION NUMBER: 0001209191-19-043941
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20190730
FILED AS OF DATE: 20190801
DATE AS OF CHANGE: 20190801
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Robinette Gary E
CENTRAL INDEX KEY: 0001576879
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-04714
FILM NUMBER: 19991571
MAIL ADDRESS:
STREET 1: 5020 WESTON PARKWAY, SUITE 400
CITY: CARY
STATE: NC
ZIP: 27513
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: 0328
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-07-30
0
0000090896
Skyline Champion Corp
SKY
0001576879
Robinette Gary E
C/O SKYLINE CHAMPION CORPORATION
2520 BY-PASS ROAD
ELKHART
IN
46515
1
0
0
0
Common Stock
2019-07-30
4
A
0
3432
0.00
A
60730
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 30, 2020, provided that the Reporting Person remains in continuous service with the Issuer through the vesting date.
Exhibit 24.1 - Power of Attorney
/s/ Caren A. Ries, Attorney-in-Fact
2019-08-01
EX-24.4_866734
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
Know all by these presents, that on this July 30, 2019 the undersigned hereby
constitutes and appoints each of Robert Spence and Caren Ries, or either of them
signing singly, and with full power of substitution, the undersigned's true and
lawful attorney-in-fact to:
(1) prepare, execute in the undersigned's name and on the undersigned's behalf,
and submit to the U.S. Securities and Exchange Commission (the "SEC") a Form ID,
including amendments thereto, and any other documents necessary or appropriate
to obtain codes and passwords enabling the undersigned to make electronic
filings with the SEC of reports required by Section 16(a) of the Securities
Exchange Act of 1934 or any rule or regulation of the SEC;
(2) execute for and on behalf of the undersigned, in the undersigned's capacity
as an officer and/or director of Skyline Champion Corporation (the "Company"),
Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange
Act of 1934 and the rules thereunder;
(3) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4, or 5,
complete and execute any amendment or amendments thereto, and timely file such
form with the SEC and any stock exchange or similar authority; and
(4) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney- in-fact on behalf of
the undersigned pursuant to this Power of Attorney shall be in such form and
shall contain such terms and conditions as such attorney-in-fact may approve in
such attorney-in- fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in- fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of the date first above written.
/s/ Gary Robinette
Signature