SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Stauffer Chad C

(Last) (First) (Middle)
AT HOME GROUP INC.
1600 EAST PLANO PARKWAY

(Street)
PLANO TX 75074

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/04/2019
3. Issuer Name and Ticker or Trading Symbol
At Home Group Inc. [ HOME ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Merchandising Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 4,930(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) (2) 05/30/2025 Common Stock 40,098 $35.35 D
Employee Stock Option (Right to Buy) (3) 03/28/2026 Common Stock 21,849 $17.83 D
Explanation of Responses:
1. This amount includes 4,497 shares deliverable upon vesting and settlement of restricted stock units in respect of the issuer's common stock. Subject to the reporting person's continued employment with the issuer through the applicable vesting date, 1,131 of these restricted stock units are scheduled to vest in substantially equal installments on each of May 30, 2020 and May 30, 2021 and 3,366 of these restricted stock units are scheduled to vest in substantially equal installments on each of March 28, 2020, March 28, 2021 and March 28, 2022. Vested restricted stock units will be settled in shares of common stock within 30 days after the applicable vesting date.
2. This option is vested with respect to 3,538 of the underlying shares and, subject to the reporting person's continued employment with the issuer through the applicable vesting date, is scheduled to vest with respect to 7,076 of the underlying shares in substantially equal installments on each of May 30, 2020 and May 30, 2021 and with respect to 29,484 of the underlying shares in substantially equal installments on each of May 30, 2021 and May 30, 2022.
3. Subject to the reporting person's continued employment with the issuer through the applicable vesting date, this option is scheduled to vest in substantially equal installments on each of March 28, 2020, March 28, 2021 and March 28, 2022.
/s/ Mary Jane Broussard, Attorney-in-Fact for Chad C. Stauffer 06/11/2019
** 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 5 (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.