0001104659-21-099256.txt : 20210803 0001104659-21-099256.hdr.sgml : 20210803 20210803105703 ACCESSION NUMBER: 0001104659-21-099256 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210722 FILED AS OF DATE: 20210803 DATE AS OF CHANGE: 20210803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Crevoiserat Joanne C. CENTRAL INDEX KEY: 0001607592 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37849 FILM NUMBER: 211138450 MAIL ADDRESS: STREET 1: 6301 FITCH PATH CITY: NEW ALBANY STATE: OH ZIP: 43054 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: At Home Group Inc. CENTRAL INDEX KEY: 0001646228 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-HOME FURNITURE, FURNISHINGS & EQUIPMENT STORES [5700] IRS NUMBER: 453229563 STATE OF INCORPORATION: DE FISCAL YEAR END: 0129 BUSINESS ADDRESS: STREET 1: AT HOME GROUP INC. STREET 2: 1600 EAST PLANO PARKWAY CITY: PLANO STATE: TX ZIP: 75074 BUSINESS PHONE: (972) 265-6227 MAIL ADDRESS: STREET 1: 1600 EAST PLANO PARKWAY CITY: PLANO STATE: TX ZIP: 75074 4 1 tm2123866-15_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-07-22 1 0001646228 At Home Group Inc. HOME 0001607592 Crevoiserat Joanne C. AT HOME GROUP INC. 1600 EAST PLANO PARKWAY PLANO TX 75074 1 0 0 0 Common Stock 2021-07-22 4 U 0 37402.756 37 D 5132 D Common Stock 2021-07-23 4 D 0 5132 37 D 0 D This amount consists of shares deliverable upon vesting and settlement of restricted stock units. These restricted stock units were cancelled pursuant to the amended and restated merger agreement between issuer, Ambience Parent, Inc. and Ambience Merger Sub, Inc. in exchange for a cash payment equal to the market value of the underlying issuer common stock on the effective date of the merger ($37 per share). /s/ Mary Jane Broussard, Attorney-in-Fact for Joanne C. Crevoiserat 2021-08-03