0001579252-18-000100.txt : 20181129 0001579252-18-000100.hdr.sgml : 20181129 20181129175108 ACCESSION NUMBER: 0001579252-18-000100 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181128 FILED AS OF DATE: 20181129 DATE AS OF CHANGE: 20181129 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WALZ KEITH ALAN CENTRAL INDEX KEY: 0001295815 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36051 FILM NUMBER: 181209362 MAIL ADDRESS: STREET 1: 833 EAST MICHIGAN STREET STREET 2: SUITE 900 CITY: MILWAUKEE STATE: WI ZIP: 53202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Jason Industries, Inc. CENTRAL INDEX KEY: 0001579252 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS MANUFACTURING INDUSTRIES [3990] IRS NUMBER: 462888322 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 833 EAST MICHIGAN STREET STREET 2: SUITE 900 CITY: MILWAUKEE STATE: WI ZIP: 53202 BUSINESS PHONE: 414-277-9300 MAIL ADDRESS: STREET 1: 833 EAST MICHIGAN STREET STREET 2: SUITE 900 CITY: MILWAUKEE STATE: WI ZIP: 53202 FORMER COMPANY: FORMER CONFORMED NAME: Quinpario Acquisition Corp. DATE OF NAME CHANGE: 20130613 4 1 wf-form4_154353185220687.xml FORM 4 X0306 4 2018-11-28 0 0001579252 Jason Industries, Inc. JASN 0001295815 WALZ KEITH ALAN 833 EAST MICHIGAN STREET SUITE 900 MILWAUKEE WI 53202 0 1 0 0 SVP & GM-Finishing Common Stock 2018-11-28 4 P 0 1 1.95 A 6779 D Common Stock 2018-11-29 4 P 0 10000 1.96 A 16779 D Common Stock 39222 I By IRA Restricted Stock Units Common Stock 2500.0 2500 D Restricted Stock Units Common Stock 50000.0 50000 D Restricted Stock Units Common Stock 100000.0 100000 D The time-vesting restricted stock units vest in equal one-third (1/3) installments on each of the first three (3) anniversaries following February 4, 2016, provided that the reporting person has not been terminated prior to the applicable vesting date. The time-vesting restricted stock units vest in two equal installments with the first vesting date being January 5, 2019 and the second vesting date being July 5, 2020, provided that the reporting person has not been terminated prior to the applicable vesting date. The time-vesting restricted stock units vest in equal one-third (1/3) installments on each of the first three (3) anniversaries following March 23, 2018, provided that the reporting person has not been terminated prior to the applicable vesting date. /s/ James M. Reeves as attorney-in-fact 2018-11-29