0001209191-18-035556.txt : 20180605 0001209191-18-035556.hdr.sgml : 20180605 20180605154038 ACCESSION NUMBER: 0001209191-18-035556 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180301 FILED AS OF DATE: 20180605 DATE AS OF CHANGE: 20180605 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Deckard Jenniffer D. CENTRAL INDEX KEY: 0001621011 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36670 FILM NUMBER: 18880996 MAIL ADDRESS: STREET 1: 8834 MAYFIELD ROAD CITY: CHESTERLAND STATE: OH ZIP: 44026 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FAIRMOUNT SANTROL HOLDINGS INC. CENTRAL INDEX KEY: 0001010858 STANDARD INDUSTRIAL CLASSIFICATION: MINING, QUARRYING OF NONMETALLIC MINERALS (NO FUELS) [1400] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8834 MAYFIELD ROAD CITY: CHESTERLAND STATE: OH ZIP: 44026 BUSINESS PHONE: 800-255-7263 MAIL ADDRESS: STREET 1: 8834 MAYFIELD ROAD CITY: CHESTERLAND STATE: OH ZIP: 44026 FORMER COMPANY: FORMER CONFORMED NAME: FMSA HOLDINGS INC DATE OF NAME CHANGE: 20140818 FORMER COMPANY: FORMER CONFORMED NAME: FML HOLDINGS INC DATE OF NAME CHANGE: 19960318 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-03-01 1 0001010858 FAIRMOUNT SANTROL HOLDINGS INC. FMSA 0001621011 Deckard Jenniffer D. 8834 MAYFIELD ROAD CHESTERLAND OH 44026 1 1 0 0 President and CEO Common Stock 2018-03-01 4 A 0 187300 0.00 D 265827 D Common Stock 2018-06-01 4 D 0 21366 0.00 D 244461 D Common Stock 2018-06-01 4 D 0 244461 0.00 D 0 D Common Stock 2018-06-01 4 D 0 57000 0.00 D 0 D Common Stock 2018-06-01 4 D 0 40432 0.00 D 0 D Common Stock 2018-06-01 4 D 0 2098268 0.00 D 0 I As trustee of Jenniffer D. Deckard Family Trust U/A/D dated February 28, 2010 Common Stock 2018-06-01 4 D 0 857888 0.00 D 0 I As trustee of the Abbey Jo Deckard Trust Common Stock 2018-06-01 4 D 0 857888 0.00 D 0 I As trustee of the Connor John Deckard Trust Common Stock 2018-06-01 4 D 0 102000 0.00 D 0 I As trustee of Daryl K. Deckard Irrevocable Trust dated August 29, 2014 Common Stock 2018-06-01 4 D 0 353600 0.00 D 0 I As spouse to the trustee of Jenniffer D. Deckard Irrevocable Trust dated December 27, 2012 Common Stock 2018-06-01 4 D 0 386543 0.00 D 0 I By 401(k) Plan Common Stock 2018-06-01 4 D 0 1666 0.00 D 5640 I By Spouse Commo n Stock 2018-06-01 4 D 0 5640 0.00 D 0 I By Spouse Employee Stock Option (Right to Buy) 1.43 2018-06-01 4 D 0 333812 D 2019-10-01 Common Stock 333812 0 D Employee Stock Option (Right to Buy) 3.57 2018-06-01 4 D 0 102000 D 2020-12-07 Common Stock 102000 0 D Employee Stock Option (Right to Buy) 10.46 2018-06-01 4 D 0 85000 D 2023-12-10 Common Stock 85000 0 D Employee Stock Option (Right to Buy) 16.00 2018-06-01 4 D 0 35700 D 2024-10-02 Common Stock 35700 0 D Employee Stock Option (Right to Buy) 8.83 2018-06-01 4 D 0 44000 D 2025-05-15 Common Stock 44000 0 D Employee Stock Option (Right to Buy) 2.04 2018-06-01 4 D 0 118000 D 2026-03-01 Common Stock 118000 0 D Employee Stock Option (Right to Buy) 10.03 2018-06-01 4 D 0 50700 D 2027-03-01 Common Stock 50700 0 D The reporting person was granted 187,300 restricted stock units. The restricted stock units vest in 1/4 increments commencing one year after the date of grant. Reflects disposition in connection with the consummation of the transactions contemplated by the Agreement and Plan of Merger, dated as of December 11, 2017 (the "Merger Agreement"), among the Issuer, SCR-Sibelco NV, Unimin Corporation, nka Covia Holdings Corporation ("Covia"), Bison Merger Sub, Inc. ("Merger Sub") and Bison Merger Sub I, LLC ("Merger Sub LLC"), pursuant to which Merger Sub merged with and into the Issuer with the Issuer as the surviving corporation and for the subsequent merger of Issuer with and into Merger Sub LLC with Merger Sub LLC as the surviving corporation and a wholly owned subsidiary of Covia. In the Merger, each share of Issuer Common Stock, par value $0.01 per share, was exchanged for (i) cash consideration equal to $0.73 per fully diluted share (the "Cash Consideration") and (ii) 0.20 shares (the "Exchange Ratio") of voting common stock, par value $1.00 per share, of Covia ("Covia Common Stock"). In accordance with the terms of the Merger Agreement, each restricted stock unit award of the Issuer outstanding immediately prior to the effective time of the Merger (whether vested or unvested) was converted into (i) cash in an amount equal to the Cash Consideration multiplied by the number of shares of Issuer Common Stock subject to such Issuer restricted stock award and (ii) a restricted share unit award of Covia with respect to the aggregate number of shares of Covia Common Stock equal to the product of the number of shares of Issuer Common Stock subject to such Issuer restricted stock unit award, multiplied by the Exchange Ratio, rounded up or down the nearest whole unit. In accordance with the terms of the Merger Agreement, this performance restricted share unit award ("PSU Award") was converted into (A) a restricted share unit award of Covia with respect to the aggregate number of shares of Covia Common Stock equal to the product of (i) Issuer PSU Awards granted in 2016 ("2016 PSU Award") assuming achievement of 100% of target performance and (ii) the Exchange Ratio, rounded up or down to the nearest whole unit and (B) cash in an amount equal to the Cash Consideration multiplied by the number of shares of Issuer Common Stock subject to 2016 PSU Awards assuming achievement of 100% of target performance. In accordance with the terms of the Merger Agreement, this PSU Award was converted into (A) a restricted share unit award of Covia with respect to the aggregate number of shares of Covia Common Stock equal to the product of (i) the Issuer PSU Awards granted in 2017 ("2017 PSU Award") assuming achievement of 133% of target performance, and (ii) the Exchange Ratio, rounded up or down to the nearest whole unit and (B) cash in an amount equal to the Cash Consideration multiplied by the number of shares of Issuer Common Stock subject to 2017 PSU Awards assuming achievement of 133% of target performance. The option was converted into an option to purchase shares of Covia Common Stock equal to the product of the aggregate number of shares of the Issuer Common Stock for which the Issuer stock option was exercisable, multiplied by the Exchange Ratio, rounded down to the nearest whole share, at an exercise price of $7.15. This option was fully vested and exercisable at the time of the Merger. Under the terms of the Merger Agreement, each Issuer stock option outstanding immediately prior to the effective time of the Merger (whether vested or unvested) was converted into an option to purchase shares of Covia Common Stock equal to the product of the aggregate number of shares of the Issuer Common Stock for which the Issuer stock option was exercisable, multiplied by the Exchange Ratio, rounded down to the nearest whole share, with an exercise price equal to the exercise price of the Issuer stock option immediately prior to the closing of the Merger, divided by the Exchange Ratio, rounded up to the nearest cent. Holders of an In-the-Money Option (as defined in the Merger Agreement) that is outstanding immediately prior to the effective time of the Merger received a cash payment equal to the Cash Consideration, multiplied by the aggregate number of such the holder's Cash Consideration Fully Diluted Stock Option Shares (as defined in the Merger Agreement) less taxes. The option was converted into an option to purchase shares of Covia Common Stock equal to the product of the aggregate number of shares of the Issuer Common Stock for which the Issuer stock option was exercisable, multiplied by the Exchange Ratio, rounded down to the nearest whole share, at an exercise price of $17.85. This option was fully vested and exercisable at the time of the Merger. The option was converted into an option to purchase shares of Covia Common Stock equal to the product of the aggregate number of shares of the Issuer Common Stock for which the Issuer stock option was exercisable, multiplied by the Exchange Ratio, rounded down to the nearest whole share, at an exercise price of $52.30. One-fifth of this option was vested at the time of the Merger. The remaining four-fifths of the option will vest on December 10, 2020. The option was converted into an option to purchase shares of Covia Common Stock equal to the product of the aggregate number of shares of the Issuer Common Stock for which the Issuer stock option was exercisable, multiplied by the Exchange Ratio, rounded down to the nearest whole share, at an exercise price of $80.00. One-third of this option was vested at the time of the Merger. The remaining two-thirds of the option will vest on December 31, 2018. This option, which would have vested on December 31, 2019, was converted into an option to purchase shares of Covia Common Stock equal to the product of the aggregate number of shares of the Issuer Common Stock for which the Issuer stock option was exercisable, multiplied by the Exchange Ratio, rounded down to the nearest whole share, with an exercise price of $44.15. The option was converted into an option to purchase shares of Covia Common Stock equal to the product of the aggregate number of shares of the Issuer Common Stock for which the Issuer stock option was exercisable, multiplied by the Exchange Ratio, rounded down to the nearest whole share, at an exercise price of $10.20. Two-thirds of this option was vested at the time of the Merger. The remaining one-third of the option will vest on March 1, 2019. The option was converted into an option to purchase shares of Covia Common Stock equal to the product of the aggregate number of shares of the Issuer Common Stock for which the Issuer stock option was exercisable, multiplied by the Exchange Ratio, rounded down to the nearest whole share, at an exercise price of $50.15. One-third of this option was vested at the time of the Merger. The remaining two-thirds of the option will vest on March 1, 2019 and March 1, 2020 in equal increments. /s/ Jenniffer D. Deckard, by David J. Crandall, her attorney-in-fact pursuant to Power of Attorney dated September 25, 2014, on file with the Commission 2018-06-05