SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
POLSKY JACK R

(Last) (First) (Middle)
C/O SHAKE SHACK INC.
24 UNION SQUARE EAST, 5TH FLOOR

(Street)
NEW YORK NY 10003

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Shake Shack Inc. [ SHAK ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
08/18/2015
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
CLASS A COMMON STOCK 08/18/2015 C 4,578 A (1) 4,878 I BY TRUST(2)
CLASS A COMMON STOCK 08/18/2015 S 4,578 D $57.75 300 I BY TRUST(2)
CLASS B COMMON STOCK 08/18/2015 J(3) 4,578 D (3) 29,376 I BY TRUST(2)
CLASS A COMMON STOCK 08/18/2015 C 1,144 A (1) 1,444 I BY TRUST(4)
CLASS A COMMON STOCK 08/18/2015 S 1,144 D $57.75 300 I BY TRUST(4)
CLASS B COMMON STOCK 08/18/2015 J(3) 1,144 D (3) 7,344 I BY TRUST(4)
CLASS A COMMON STOCK 08/18/2015 C 2,289 A (1) 2,589 I BY TRUST(5)
CLASS A COMMON STOCK 08/18/2015 S 2,289 D $57.75 300 I BY TRUST(5)
CLASS B COMMON STOCK 08/18/2015 J(3) 2,289 D (3) 14,688 I BY TRUST(5)
CLASS A COMMON STOCK 08/18/2015 C 4,578 A $0(1) 4,878 I BY TRUST(6)
CLASS A COMMON STOCK 08/18/2015 S 4,578 D $57.75 300 I BY TRUST(6)
CLASS B COMMON STOCK 08/18/2015 J(3) 4,578 D (3) 29,376 I BY TRUST(6)
CLASS A COMMON STOCK 08/18/2015 C 2,289 A (1) 2,589 I BY TRUST(7)
CLASS A COMMON STOCK 08/18/2015 S 2,289 D $57.75 300 I BY TRUST(7)
CLASS B COMMON STOCK 08/18/2015 J(3) 2,289 D (3) 14,688 I BY TRUST(7)
CLASS A COMMON STOCK 08/18/2015 C 4,578 A (1) 4,878 I BY TRUST(8)
CLASS A COMMON STOCK 08/18/2015 S 4,578 D $57.75 300 I BY TRUST(8)
CLASS B COMMON STOCK 08/18/2015 J(3) 4,578 D (3) 29,376 I BY TRUST(8)
CLASS A COMMON STOCK 08/18/2015 C 4,578 A (1) 4,878 I BY TRUST(9)
CLASS A COMMON STOCK 08/18/2015 S 4,578 D $57.75 300 I BY TRUST(9)
CLASS B COMMON STOCK 08/18/2015 J(3) 4,578 D (3) 29,376 I BY TRUST(9)
CLASS A COMMON STOCK 08/18/2015 C 4,578 A (1) 4,878 I BY TRUST(10)
CLASS A COMMON STOCK 08/18/2015 S 4,578 D $57.75 300 I BY TRUST(10)
CLASS B COMMON STOCK 08/18/2015 J(3) 4,578 D (3) 29,376 I BY TRUST(10)
CLASS A COMMON STOCK 08/18/2015 C 3,433 A (1) 3,733 I BY TRUST(11)
CLASS A COMMON STOCK 08/18/2015 S 3,433 D $57.75 300 I BY TRUST(11)
CLASS B COMMON STOCK 08/18/2015 J(3) 3,433 D (3) 22,032 I BY TRUST(11)
CLASS A COMMON STOCK 08/18/2015 C 11,445 A (1) 11,745 I BY TRUST(12)
CLASS A COMMON STOCK 08/18/2015 S 11,445 D $57.75 300 I BY TRUST(12)
CLASS B COMMON STOCK 08/18/2015 J(3) 11,445 D (3) 73,439 I BY TRUST(12)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Common Membership Interests (13) 08/18/2015 C 4,578 (13) (13) CLASS A COMMON STOCK 4,578 (13) 29,376 I BY TRUST(2)
Common Membership Interests (13) 08/18/2015 C 1,144 (13) (13) CLASS A COMMON STOCK 1,144 (13) 7,344 I BY TRUST(4)
Common Membership Interests (13) 08/18/2015 C 2,289 (13) (13) CLASS A COMMON STOCK 2,289 (13) 14,688 I BY TRUST(5)
Common Membership Interests (13) 08/18/2015 C 4,578 (13) (13) CLASS A COMMON STOCK 4,578 (13) 29,376 I BY TRUST(6)
Common Membership Interests (13) 08/18/2015 C 2,289 (13) (13) CLASS A COMMON STOCK 2,289 (13) 14,688 I BY TRUST(7)
Common Membership Interests (13) 08/18/2015 C 4,578 (13) (13) CLASS A COMMON STOCK 4,578 (13) 29,376 I BY TRUST(8)
Common Membership Interests (13) 08/18/2015 C 4,578 (13) (13) CLASS A COMMON STOCK 4,578 (13) 29,376 I BY TRUST(9)
Common Membership Interests (13) 08/18/2015 C 4,578 (13) (13) CLASS A COMMON STOCK 4,578 (13) 29,376 I BY TRUST(10)
Common Membership Interests (13) 08/18/2015 C 3,433 (13) (13) CLASS A COMMON STOCK 3,433 (13) 22,032 I BY TRUST(11)
Common Membership Interests (13) 08/18/2015 C 11,445 (13) (13) CLASS A COMMON STOCK 11,445 (13) 73,439 I BY TRUST(12)
1. Name and Address of Reporting Person*
POLSKY JACK R

(Last) (First) (Middle)
C/O SHAKE SHACK INC.
24 UNION SQUARE EAST, 5TH FLOOR

(Street)
NEW YORK NY 10003

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
AMY WEISS-MEYER QUALIFIED MINOR'S TRUST

(Last) (First) (Middle)
C/O SHAKE SHACK INC.
24 UNION SQUARE EAST, 5TH FLOOR

(Street)
NEW YORK NY 10003

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
ISAAC WEISS-MEYER QUALIFIED MINOR'S TRUST

(Last) (First) (Middle)
C/O SHAKE SHACK INC.
24 UNION SQUARE EAST, 5TH FLOOR

(Street)
NEW YORK NY 10003

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
HALLIE MEYER QUALIFIED MINOR'S TRUST

(Last) (First) (Middle)
C/O SHAKE SHACK INC.
24 UNION SQUARE EAST, 5TH FLOOR

(Street)
NEW YORK NY 10003

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
GRETCHEN MEYER QUALIFIED MINOR'S TRUST

(Last) (First) (Middle)
C/O SHAKE SHACK INC.
24 UNION SQUARE EAST, 5TH FLOOR

(Street)
NEW YORK NY 10003

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
CHARLES MEYER QUALIFIED MINOR'S TRUST

(Last) (First) (Middle)
C/O SHAKE SHACK INC.
24 UNION SQUARE EAST, 5TH FLOOR

(Street)
NEW YORK NY 10003

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
PEYTON MEYER QUALIFIED MINOR'S TRUST

(Last) (First) (Middle)
C/O SHAKE SHACK INC.
24 UNION SQUARE EAST, 5TH FLOOR

(Street)
NEW YORK NY 10003

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Shares obtained upon redemption of common membership interests in SSE Holdings, LLC (the "LLC Interests") for an equal number of shares of the Issuer's Class A Common Stock.
2. Held directly by the RHF - TM 1999 Descendants Trust, of which Jack Polsky (the "Reporting Person") is a trustee and Michael C. McQuinn is a co-trustee. The shares and LLC Interests reported herein are also reported on a Form 4 filed by Michael C. McQuinn and the RHF - TM 1999 Descendants Trust on August 20, 2015. The Reporting Person disclaims beneficial ownership of such shares and LLC Interests, as applicable, except to the extent of his pecuniary interest therein.
3. Pursuant to the Amended and Restated Certificate of Incorporation of the Issuer, the shares of the Issuer's Class B Common Stock are cancelled for no consideration on a one-for-one basis upon redemption of the LLC Interests for shares of Class A Common Stock.
4. Held directly by the Jean Polsky Investment Trust dtd 3/21/97, of which the Reporting Person is a trustee. The shares and LLC Interests reported herein are also reported on a Form 4 filed by Jean Polsky Investment Trust dtd 3/21/97 and Jean Polsky on August 20, 2015. The Reporting Person disclaims beneficial ownership of the shares and LLC Interests, as applicable, reported herein, except to the extent of his pecuniary interest therein.
5. Held directly by the Amy Weiss-Meyer Qualified Minor's Trust, of which the Reporting Person is trustee. The Reporting Person disclaims beneficial ownership of such shares and LLC Interests, as applicable, reported herein, except to the extent of his pecuniary interest therein.
6. Held directly by the Hallie Meyer Qualified Minor's Trust, of which the Reporting Person is trustee. The Reporting Person disclaims beneficial ownership of the shares and LLC Interests, as applicable, reported herein, except to the extent of his pecuniary interest therein.
7. Held directly by the Isaac Weiss-Meyer Qualified Minor's Trust, of which the Reporting Person is trustee. The Reporting Person disclaims beneficial ownership of the shares and LLC Interests, as applicable, reported herein, except to the extent of his pecuniary interest therein.
8. Held directly by the Gretchen Meyer Qualified Minor's Trust, of which the Reporting Person is trustee. The Reporting Person disclaims beneficial ownership of the shares and LLC Interests, as applicable, reported herein, except to the extent of his pecuniary interest therein.
9. Held directly by the Charles Meyer Qualified Minor's Trust, of which the Reporting Person is trustee. The Reporting Person disclaims beneficial ownership of the shares and LLC Interests, as applicable, reported herein, except to the extent of his pecuniary interest therein.
10. Held directly by the Peyton Meyer Qualified Minor's Trust, of which the Reporting Person is trustee. The Reporting Person disclaims beneficial ownership of the shares and LLC interests, as applicable, reported herein, except to the extent of his pecuniary interest therein.
11. Held directly by the VHP - Special Trust for Jack dtd 12/31/12, of which the Reporting Person is a trustee and Jonathan Graber is a co-trustee. The shares and LLC Interests reported herein are also reported on a Form 4 filed by the VHP - Special Trust for Jack dtd 12/31/12 and Jonathan Graber on August 20, 2015. The Reporting Person disclaims beneficial ownership of such shares and LLC Interests, as applicable, except to the extent of his pecuniary interest therein.
12. Held directly by the RHF - NM 1999 Descendants Trust, of which the Reporting Person is a trustee and Michael C. McQuinn is a co-trustee. The shares and LLC Interests reported herein are also reported on a Form 4 filed by Michael C. McQuinn and the RHF - NM 1999 Descendants Trust on August 20, 2015. The Reporting Person disclaims beneficial ownership of such shares and LLC Interests, as applicable, except to the extent of his pecuniary interest therein.
13. The LLC Interests are redeemable for an equal number of shares of the Issuer's Class A Common Stock or, at the election of the Issuer, cash equal to the volume-weighted average market price of such shares. The LLC Interests have no expiration date.
Remarks:
/s/ Ronald Palmese, Jr., Esq., Attorney-in-Fact for Jack R. Polsky 08/20/2015
/s/ Ronald Palmese, Jr., Esq., Attorney-in-Fact for Amy Weiss-Meyer Qualified Minor's Trust 08/20/2015
/s/ Ronald Palmese, Jr., Esq., Attorney-in-Fact for Charles Meyer Qualified Minor's Trust 08/20/2015
/s/ Ronald Palmese, Jr., Esq., Attorney-in-Fact for Gretchen Meyer Qualified Minor's Trust 08/20/2015
/s/ Ronald Palmese, Jr., Esq., Attorney-in-Fact for Hallie Meyer Qualified Minor's Trust 08/20/2015
/s/ Ronald Palmese, Jr., Esq., Attorney-in-Fact for Isaac Weiss-Meyer Qualified Minor's Trust 08/20/2015
/s/ Ronald Palmese, Jr., Esq., Attorney-in-Fact for Peyton Meyer Qualified Minor's Trust 08/20/2015
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.