0001592379-19-000006.txt : 20190107 0001592379-19-000006.hdr.sgml : 20190107 20190107190838 ACCESSION NUMBER: 0001592379-19-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190101 FILED AS OF DATE: 20190107 DATE AS OF CHANGE: 20190107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tullett Victoria J CENTRAL INDEX KEY: 0001606719 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36432 FILM NUMBER: 19514358 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 FORMER NAME: FORMER CONFORMED NAME: Blackwell Victoria T. DATE OF NAME CHANGE: 20140429 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_154690610243058.xml FORM 4 X0306 4 2019-01-01 0 0001592379 Papa Murphy's Holdings, Inc. FRSH 0001606719 Tullett Victoria J 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) 4.75 2019-01-01 4 A 0 27669 0 A 2029-01-01 Common Stock 27669.0 27669 D Performance Share Units 2019-01-01 4 A 0 9262 0 A Common Stock 9262.0 9262 D Stock Option granted under the 2014 Management Incentive Plan and becomes exercisable with respect to 33-1/3% of the shares on each of the first three anniversaries of the date of the grant. Performance share units ("PSUs") granted under the 2014 Management Incentive Plan represent shares of Papa Murphy's Holdings, Inc. ("Papa Murphy's") common stock to which the reporting person will be entitled. Each PSU represents the right to receive, at settlement, one share of Papa Murphy's common stock. The number of PSUs represents the target number of shares of Papa Murphy's common stock to which the reporting person will be entitled. The actual number of shares associated with the grant will depend on the achievement of certain specified performance criteria during the 2019 fiscal year including stock price performance and adjusted EBITDA performance. Subject to the achievement of certain specified performance criteria, each PSU will vest on the earilest of 50% on the second anniversary of the date of the grant and 50% on the third anniversary of the date of the grant, Papa Murphy's common stock trading at $10.00 or higher for 90 consecutive days, or a change in control. /s/ Daniel R. Smith attorney-in-fact 2019-01-07