0000905718-21-000357.txt : 20210302 0000905718-21-000357.hdr.sgml : 20210302 20210302193323 ACCESSION NUMBER: 0000905718-21-000357 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210227 FILED AS OF DATE: 20210302 DATE AS OF CHANGE: 20210302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCHOTTENSTEIN JAY L CENTRAL INDEX KEY: 0001031000 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39350 FILM NUMBER: 21706227 MAIL ADDRESS: STREET 1: 1800 MOLER ROAD CITY: COLUMBUS STATE: OH ZIP: 43207 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Albertsons Companies, Inc. CENTRAL INDEX KEY: 0001646972 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 0227 BUSINESS ADDRESS: STREET 1: 250 PARKCENTER BLVD. CITY: BOISE STATE: ID ZIP: 83706 BUSINESS PHONE: 208-395-6200 MAIL ADDRESS: STREET 1: 250 PARKCENTER BLVD. CITY: BOISE STATE: ID ZIP: 83706 4 1 albertsons_fm4feb272021.xml X0306 4 2021-02-27 0 0001646972 Albertsons Companies, Inc. ACI 0001031000 SCHOTTENSTEIN JAY L C/O ALBERTSONS COMPANIES, INC. 250 PARKCENTER BLVD. BOISE ID 83706 1 0 1 0 Class A common stock, par value $0.01 2021-02-27 4 M 0 9552 A 9552 D Class A common stock, par value $0.01 58128752 I See footnotes Restricted Stock Unit 2021-02-27 4 M 0 9552 D Class A common stock, par value $0.01 9552 0 D Each restricted stock unit represents a contractual right to receive one share of Class A common stock of Albertsons Companies, Inc. The awards vested in full on February 27, 2021. Jubilee ABS Holding LLC ("Jubilee") and/or one or more of its affiliates have entered into a stockholders agreement, dated June 25, 2020 (the "Stockholders Agreement"), among the Issuer and certain holders of Company Class A common stock (together with Jubilee, the "Sponsors"). Pursuant to the Stockholders Agreement, the Sponsors have agreed to act in concert and vote together on certain matters relating to the Company. As a result, the Sponsors in the aggregate may be deemed to beneficially own more than 10% of the outstanding shares of Company Class A common stock. Jay L. Schottenstein (the "Reporting Person") may be deemed the indirect beneficial owner of the shares held by Jubilee through his indirect interest in Jubilee. However, the Reporting Person and his affiliates do not have a pecuniary interest in the securities of the Company held by the other Sponsors. The securities reported herein are held by one or more funds and/or accounts managed by the Reporting Person. The Reporting Person expressly disclaims beneficial ownership of the reported shares except to the extent of his pecuniary interest therein. /s/ Laura A. Donald, Attorney-in-Fact for Jay L. Schottenstein 2021-03-02