0001592379-18-000019.txt : 20180426 0001592379-18-000019.hdr.sgml : 20180426 20180426195022 ACCESSION NUMBER: 0001592379-18-000019 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180424 FILED AS OF DATE: 20180426 DATE AS OF CHANGE: 20180426 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blackwell Victoria T. CENTRAL INDEX KEY: 0001606719 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36432 FILM NUMBER: 18780475 MAIL ADDRESS: STREET 1: C/O PAPA MURPHY'S HOLDINGS, INC. STREET 2: 8000 NE PARKWAY DRIVE, SUITE 350 CITY: VANCOUVER STATE: WA ZIP: 98662 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Papa Murphy's Holdings, Inc. CENTRAL INDEX KEY: 0001592379 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 272349094 FISCAL YEAR END: 0102 BUSINESS ADDRESS: STREET 1: 8000 NE PARKWAY DRIVE STREET 2: SUITE 350 CITY: VANCOUVER STATE: WA ZIP: 98662 BUSINESS PHONE: 360 260-7272 MAIL ADDRESS: STREET 1: 8000 NE PARKWAY DRIVE STREET 2: SUITE 350 CITY: VANCOUVER STATE: WA ZIP: 98662 4 1 wf-form4_152478660739795.xml FORM 4 X0306 4 2018-04-24 0 0001592379 Papa Murphy's Holdings, Inc. FRSH 0001606719 Blackwell Victoria T. C/O PAPA MURPHY'S HOLDINGS, INC. 8000 NE PARKWAY DRIVE, SUITE 350 VANCOUVER WA 98662 0 1 0 0 Chief Legal Officer Stock Options (right to buy) 4.95 2018-04-24 4 A 0 25000 0 A 2021-04-24 2028-04-24 Common Stock 25000.0 25000 D Stock Option granted under the 2014 Management Incentive Plan and becomes exercisable three years after the date of the grant. /s/ Daniel R. Smith attorney-in-fact 2018-04-26