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