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*
Taylor Randy J

(Last) (First) (Middle)
9399 W. HIGGINS RD., SUITE 100

(Street)
ROSEMONT IL 60018

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/22/2023
3. Issuer Name and Ticker or Trading Symbol
US Foods Holding Corp. [ USFD ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP, Field Operations
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 21,048 D
Restricted Stock Units 16,157(1)(2)(3)(4)(5) 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) 03/29/2022(6) 03/29/2031 Common Stock 6,707(6) $36.95 D
Employee Stock Option (right to buy) 03/23/2021(7) 03/23/2030 Common Stock 15,072(7) $13.29 D
Employee Stock Option (right to buy) 03/25/2020(7) 03/25/2029 Common Stock 5,199(7) $34.56 D
Employee Stock Option (right to buy) 03/26/2019(7) 03/26/2028 Common Stock 6,431(7) $33.56 D
Explanation of Responses:
1. Certain of these restricted stock units (5,232) were granted on March 27, 2023 and vest in three equal annual installments beginning March 27, 2024. Each restricted stock unit represents a right to receive one share of the Issuer's common stock.
2. Certain of these restricted stock units (4,209) were granted on June 6, 2022 and vest on the one year anniversary. Each restricted stock unit represents a right to receive one share of the Issuer's common stock.
3. Certain of these restricted stock units were granted on March 28, 2022 and vest in three equal tranches. One third of the restricted stock units have been distributed. The remaining restricted stock units (2,477) will vest in equal tranches on March 28, 2024, and 2025. Each restricted stock unit represents a right to receive one share of the Issuer's common stock.
4. Certain of these restricted stock units were granted on March 29, 2021 and vest in three equal tranches. Two thirds of the restricted stock units have been distributed. The remaining restricted stock units (1,128) will vest on March 29, 2024. Each restricted stock unit represents a right to receive one share of the Issuer's common stock.
5. Certain of these restricted stock units were granted on November 2, 2020 and vest in three equal tranches. Two thirds of the restricted stock units have been distributed. The remaining restricted stock units (3,111) will vest on November 2, 2023. Each restricted stock unit represents a right to receive one share of the Issuer's common stock.
6. Time-based stock options granted on March 29, 2021. Two thirds of these stock options have vested and are exercisable. The remaining stock options (2,236) will vest on March 29, 2024.
7. All options reported on this line are exercisable.
Remarks:
Stephanie D. Miller, Attorney-in-Fact 06/01/2023
** 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.
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