0000950142-15-002189.txt : 20151001 0000950142-15-002189.hdr.sgml : 20151001 20151001182516 ACCESSION NUMBER: 0000950142-15-002189 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151001 FILED AS OF DATE: 20151001 DATE AS OF CHANGE: 20151001 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Performance Food Group Co CENTRAL INDEX KEY: 0001618673 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & GENERAL LINE [5141] IRS NUMBER: 431983182 STATE OF INCORPORATION: DE FISCAL YEAR END: 0628 BUSINESS ADDRESS: STREET 1: 12500 WEST CREEK PARKWAY CITY: RICHMOND STATE: VA ZIP: 23238 BUSINESS PHONE: (804) 484-7700 MAIL ADDRESS: STREET 1: 12500 WEST CREEK PARKWAY CITY: RICHMOND STATE: VA ZIP: 23238 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAWSON WILLIAM F JR CENTRAL INDEX KEY: 0001065602 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37578 FILM NUMBER: 151138115 MAIL ADDRESS: STREET 1: DONALDSON, LUFKIN & JENRETTE, STREET 2: 277 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10172 3 1 es1501207_3-dawson.xml OWNERSHIP DOCUMENT X0206 3 2015-10-01 0 0001618673 Performance Food Group Co PFGC 0001065602 DAWSON WILLIAM F JR C/O WELLSPRING CAPITAL MANAGEMENT LLC 390 PARK AVENUE NEW YORK NY 10022 1 0 1 0 Common Stock, par value $ 0.01, per share 16717179 I See Footnote Represents 16,717,179 shares of the Issuer held by Wellspring Capital Partners IV, L.P. ("WCP IV"). The reporting person is the Chief Executive Officer of Wellspring Capital Management LLC, an affiliate of WCP IV. As such, the reporting person may be deemed to beneficially own the shares of the Issuer owned directly by WCP IV. The reporting person disclaims beneficial ownership of such shares, and this report may not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose, except to the extent of his pecuniary interest therein. /s/ William F. Dawson, Jr. 2015-10-01