0000899243-15-005796.txt : 20151001 0000899243-15-005796.hdr.sgml : 20151001 20151001193902 ACCESSION NUMBER: 0000899243-15-005796 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20151001 FILED AS OF DATE: 20151001 DATE AS OF CHANGE: 20151001 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Performance Food Group Co CENTRAL INDEX KEY: 0001618673 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & GENERAL LINE [5141] IRS NUMBER: 431983182 STATE OF INCORPORATION: DE FISCAL YEAR END: 0628 BUSINESS ADDRESS: STREET 1: 12500 WEST CREEK PARKWAY CITY: RICHMOND STATE: VA ZIP: 23238 BUSINESS PHONE: (804) 484-7700 MAIL ADDRESS: STREET 1: 12500 WEST CREEK PARKWAY CITY: RICHMOND STATE: VA ZIP: 23238 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hagerty Patrick T. CENTRAL INDEX KEY: 0001653940 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37578 FILM NUMBER: 151138285 MAIL ADDRESS: STREET 1: C/O PERFORMANCE FOOD GROUP COMPANY STREET 2: 12500 WEST CREEK PARKWAY CITY: RICHMOND STATE: VA ZIP: 23238 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2015-10-01 0 0001618673 Performance Food Group Co PFGC 0001653940 Hagerty Patrick T. 12500 WEST CREEK PARKWAY RICHMOND VA 23238 0 1 0 0 See Remarks Common Stock 197520 D Options (Right to Buy) 3.90 2017-08-24 Common Stock 53005 D Options (Right to Buy) 7.67 2018-12-11 Common Stock 8083 D Options (Right to Buy) 19.00 2025-09-30 Common Stock 14134 D Options (Right to Buy) 19.00 2025-09-30 Common Stock 14134 D Options (Right to Buy) 19.00 2025-09-30 Common Stock 8666 D Includes restricted shares. An option that is fully vested. Tranche II options that vest upon the achievement of certain vesting events more fully described in the Issuer's Registration Statement on Form S-1 (File No. 333-198654). Tranche III options that vest upon the achievement of certain vesting events more fully in the Issuer's Registration Statement on Form S-1 (File No. 333-198654). An option that vests in four equal installments beginning on September 30, 2016. Title: Senior Vice President of the Company and President and Chief Executive Officer of Vistar Exhibit 24 - Power of Attorney /s/ Michael L. Miller, as Attorney-in-Fact 2015-10-01 EX-24 2 attachment1.htm EX-24 DOCUMENT
                                POWER OF ATTORNEY

        Know all by these presents that the undersigned does hereby make,
constitute and appoint each of Robert D. Evans, Michael L. Miller and Jeffery
Fender, or any one of them, as a true and lawful attorney-in-fact and agent of
the undersigned, with full powers of substitution and revocation, for and in the
name, place and stead of the undersigned (in the undersigned's individual
capacity), to execute and deliver such forms that the undersigned may be
required to file with the U.S. Securities and Exchange Commission as a result of
the undersigned's ownership of or transactions in securities of Performance Food
Group Company (i) pursuant to Section 16(a) of the Securities Exchange Act of
1934, as amended, including without limitation, statements on Form 3, Form 4 and
Form 5 (including any amendments thereto), and (ii) in connection with any
applications for EDGAR access codes or any other documents necessary or
appropriate to obtain codes and passwords enabling the undersigned to make
electronic filings with the Securities and Exchange Commission, including
without limitation the Form ID. This Power of Attorney shall remain in full
force and effect until the undersigned is no longer required to file Forms 3, 4
and 5 with regard to the undersigned's ownership of or transactions in
securities of Performance Food Group Company, unless earlier revoked in writing.
The undersigned acknowledges that Robert D. Evans, Michael L. Miller and Jeffery
Fender are not assuming any of the undersigned's responsibilities to comply with
Section 16 of the Securities Exchange Act of 1934.


                                        By:   /s/ Patrick T. Hagerty
                                             -----------------------------------
                                        Name: Patrick T. Hagerty


                                        Date: September  14, 2015
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