0001209191-16-143696.txt : 20161003
0001209191-16-143696.hdr.sgml : 20161003
20161003172959
ACCESSION NUMBER: 0001209191-16-143696
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160929
FILED AS OF DATE: 20161003
DATE AS OF CHANGE: 20161003
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Amplify Snack Brands, INC
CENTRAL INDEX KEY: 0001640313
STANDARD INDUSTRIAL CLASSIFICATION: FOOD & KINDRED PRODUCTS [2000]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 500 WEST 5TH STREET
CITY: AUSTIN
STATE: TX
ZIP: 78701
BUSINESS PHONE: 847-982-9800
MAIL ADDRESS:
STREET 1: 500 WEST 5TH STREET
CITY: AUSTIN
STATE: TX
ZIP: 78701
FORMER COMPANY:
FORMER CONFORMED NAME: TA Holdings 1, Inc.
DATE OF NAME CHANGE: 20150422
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Shiver Jason
CENTRAL INDEX KEY: 0001648749
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37530
FILM NUMBER: 161916644
MAIL ADDRESS:
STREET 1: C/O AMPLIFY SNACK BRANDS, INC.
STREET 2: 500 WEST 5TH STREET
CITY: AUSTIN
STATE: TX
ZIP: 78701
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-09-29
0
0001640313
Amplify Snack Brands, INC
BETR
0001648749
Shiver Jason
C/O AMPLIFY SNACK BRANDS, INC.
500 WEST 5TH STREET
AUSTIN
TX
78701
0
1
0
0
EVP, Sales and Marketing
Common Stock
2016-09-29
4
S
0
10000
15.8537
D
1211456
D
Common Stock
2016-09-30
4
S
0
10000
16.2182
D
1201456
D
This sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person.
This transaction was executed in multiple trades at prices ranging from $15.64 to $16.03. The price reported above reflects the weighted average price. The Reporting Person hereby undertakes to provide upon request to the SEC staff, the Issuer or a security holder of the Issuer full information regarding the number of shares and prices at which the transaction was effected.
This transaction was executed in multiple trades at prices ranging from $15.82 to $16.37. The price reported above reflects the weighted average price. The Reporting Person hereby undertakes to provide upon request to the SEC staff, the Issuer or a security holder of the Issuer full information regarding the number of shares and prices at which the transaction was effected.
/s/ Bradley C. Weber as Attorney-in-Fact to the Reporting Person
2016-10-03