0001209191-21-066206.txt : 20211122 0001209191-21-066206.hdr.sgml : 20211122 20211122190039 ACCESSION NUMBER: 0001209191-21-066206 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211118 FILED AS OF DATE: 20211122 DATE AS OF CHANGE: 20211122 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAWSON WILLIAM F JR CENTRAL INDEX KEY: 0001065602 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37578 FILM NUMBER: 211434140 MAIL ADDRESS: STREET 1: DONALDSON, LUFKIN & JENRETTE, STREET 2: 277 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10172 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: 0627 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-11-18 0 0001618673 Performance Food Group Co PFGC 0001065602 DAWSON WILLIAM F JR 12500 WEST CREEK PARKWAY RICHMOND VA 23238 1 0 0 0 Common Stock 2021-11-18 4 A 0 3618 0.00 A 13902 D Represents the grant of deferred stock units that vest in full on the earlier of (i) November 18, 2022 and (ii) the next regularly scheduled annual meeting of stockholders of Performance Food Group Company. The shares subject to the units will be issued to the Reporting Person after the Reporting Person's separation from service from the Issuer. /s/ A. Brent King, as Attorney-in-Fact 2021-11-22