0001209191-21-000734.txt : 20210105
0001209191-21-000734.hdr.sgml : 20210105
20210105122724
ACCESSION NUMBER: 0001209191-21-000734
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210104
FILED AS OF DATE: 20210105
DATE AS OF CHANGE: 20210105
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Burkhardt Timothy A.
CENTRAL INDEX KEY: 0001740206
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-04714
FILM NUMBER: 21504533
MAIL ADDRESS:
STREET 1: C/O CHAMPION ENTERPRISES HOLDINGS LLC
STREET 2: 755 W BIG BEAVER RD, #1000
CITY: TROY
STATE: MI
ZIP: 48084
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: 755 W BIG BEAVER ROAD
STREET 2: SUITE 1000
CITY: TROY
STATE: MI
ZIP: 48084
BUSINESS PHONE: 248 614 8211
MAIL ADDRESS:
STREET 1: 755 W BIG BEAVER ROAD
STREET 2: SUITE 1000
CITY: TROY
STATE: MI
ZIP: 48084
FORMER COMPANY:
FORMER CONFORMED NAME: SKYLINE CORP
DATE OF NAME CHANGE: 19920703
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-01-04
0
0000090896
Skyline Champion Corp
SKY
0001740206
Burkhardt Timothy A.
C/O SKYLINE CHAMPION CORPORATION
755 W. BIG BEAVER RD., SUITE 1000
TROY
MI
48084
0
1
0
0
VP & Controller
Common Stock
2021-01-04
4
A
0
2403
0.00
A
34560
D
Common Stock
2021-01-04
4
A
0
2804
0.00
A
37364
D
Stock Option (Right to Buy)
31.21
2021-01-04
4
A
0
6350
0.00
A
2031-01-04
Common Stock
6350
25039
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, one-third of the RSUs vests on each of the first three anniversaries of January 4, 2021, provided that the Reporting Person remains in continuous service with the Issuer through each vesting date.
Represents performance-based restricted stock units ("PRSUs") granted to the Reporting Person under the Issuer's 2018 Equity Incentive Plan. Each PRSU
represents the contingent right to receive one share of Common Stock. Subject to the terms of the award agreement evidencing the grant of the PRSUs, vesting of the PRSUs (including up to 150%) is dependent on the Issuer's total shareholder return from January 4, 2021 through
January 4, 2024, relative to the total shareholder return of certain other companies over that same time period, provided that the Reporting Person
remains in continuous service with the Issuer through each vesting date.
The stock options will vest as to one-third of the shares subject to the stock option on each of of the first three anniversaries of January 4, 2021, provided that the Reporting Person remains in continuous service with the Issuer through each vesting date.
/s/ Caren A. Ries, Attorney-in-Fact
2021-01-05