0001209191-21-049873.txt : 20210805
0001209191-21-049873.hdr.sgml : 20210805
20210805124656
ACCESSION NUMBER: 0001209191-21-049873
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210803
FILED AS OF DATE: 20210805
DATE AS OF CHANGE: 20210805
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Anderson Keith A
CENTRAL INDEX KEY: 0001527604
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-04714
FILM NUMBER: 211147244
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: 0326
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
2021-08-03
0
0000090896
Skyline Champion Corp
SKY
0001527604
Anderson Keith A
C/O SKYLINE CHAMPION CORPORATION
755 W. BIG BEAVER RD, SUITE 1000
TROY
MI
48084
1
0
0
0
Common Stock
2021-08-03
4
A
0
1750
57.13
A
287127
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 the earlier of the first anniversary of the Vesting Commencement Date or the date of the 2022 Annual Meeting of Shareholders, provided that the
Reporting Person remains in continuous service with the Issuer through the vesting date.
/s/ Caren A. Ries, Attorney-in-Fact
2021-08-05