0001579252-16-000184.txt : 20160705
0001579252-16-000184.hdr.sgml : 20160705
20160705183456
ACCESSION NUMBER: 0001579252-16-000184
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160630
FILED AS OF DATE: 20160705
DATE AS OF CHANGE: 20160705
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: 411 E. WISCONSIN AVENUE
STREET 2: SUITE 2100
CITY: MILWAUKEE
STATE: WI
ZIP: 53202
BUSINESS PHONE: 414-277-9445
MAIL ADDRESS:
STREET 1: 411 E. WISCONSIN AVENUE
STREET 2: SUITE 2100
CITY: MILWAUKEE
STATE: WI
ZIP: 53202
FORMER COMPANY:
FORMER CONFORMED NAME: Quinpario Acquisition Corp.
DATE OF NAME CHANGE: 20130613
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Doerr Thomas L Jr
CENTRAL INDEX KEY: 0001658147
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36051
FILM NUMBER: 161751999
MAIL ADDRESS:
STREET 1: 411 EAST WISCONSIN AVENUE
STREET 2: SUITE 2100
CITY: MILWAUKEE
STATE: WI
ZIP: 53202
4
1
wf-form4_146775808288024.xml
FORM 4
X0306
4
2016-06-30
0
0001579252
Jason Industries, Inc.
JASN
0001658147
Doerr Thomas L Jr
833 EAST MICHIGAN STREET
SUITE 900
MILWAUKEE
WI
53202
0
1
0
0
VP, GC and Secretary
Common Stock
2016-06-30
4
M
0
14588.50
0
A
14588.50
D
Common Stock
2016-06-30
4
F
0
4974.50
3.61
D
9614
D
Restricted Stock Units
2016-06-30
4
M
0
14588.50
0
D
Common Stock
14588.5
14588.50
D
Restricted Stock Units
Common Stock
34040.0
34040
D
The time-vesting restricted stock units vest in two equal installments with the first vesting date being June 30, 2016 and the second vesting date being June 30, 2017, provided that the reporting person has not been terminated prior to the applicable vesting date.
Provided that the reporting person has not been terminated prior to the applicable vesting date, the stock-price vesting restricted stock units vest in the following amounts if on any date between November 9, 2015 and June 30, 2017 the fair market value of Jason Industries, Inc.'s common stock: (i) equals or exceeds $12.00 in any twenty (20) trading days within a thirty (30) day period, then 8,510 of the stock price-vesting restricted stock units shall vest; (ii) equals or exceeds $13.50 in any twenty (20) trading days within a thirty (30) day period, then an additional 8,510 of the stock price-vesting restricted stock units shall vest (a total of 17,020 of the stock price-vesting restricted stock units);
(Continued from footnote 2) (iii) equals or exceeds $15.00 in any twenty (20) trading days within a thirty (30) trading day period, then an additional 8,510 of the stock price-vesting restricted stock units shall vest (a total of 25,530 of the stock price-vesting restricted stock units); and (iv) equals or exceeds $17.00 in any twenty (20) trading days within a thirty (30) trading day period, then an additional 8,510 of the stock price-vesting restricted stock units shall vest (a total of 34,040 of the stock price-vesting restricted stock units). Any portion of the stock price-vesting restricted stock units that have not become fully vested on or prior to June 30, 2017 shall be cancelled and forfeited for no consideration.
/s/ Thomas L. Doerr, Jr.
2016-07-01