0001678463-22-000006.txt : 20220114 0001678463-22-000006.hdr.sgml : 20220114 20220114161809 ACCESSION NUMBER: 0001678463-22-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220112 FILED AS OF DATE: 20220114 DATE AS OF CHANGE: 20220114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BHATIA VIKRANT CENTRAL INDEX KEY: 0001628240 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37921 FILM NUMBER: 22532076 MAIL ADDRESS: STREET 1: 511 E. JOHN CARPENTER FREEWAY STREET 2: SUITE 600 CITY: IRVING STATE: TX ZIP: 75062 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Forterra, Inc. CENTRAL INDEX KEY: 0001678463 STANDARD INDUSTRIAL CLASSIFICATION: CONCRETE PRODUCTS, EXCEPT BLOCK & BRICK [3272] IRS NUMBER: 371830464 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 511 E. JOHN CARPENTER FREEWAY STREET 2: SUITE 600 CITY: IRVING STATE: TX ZIP: 75062 BUSINESS PHONE: 469-458-7973 MAIL ADDRESS: STREET 1: 511 E. JOHN CARPENTER FREEWAY STREET 2: SUITE 600 CITY: IRVING STATE: TX ZIP: 75062 4 1 wf-form4_164219507042802.xml FORM 4 X0306 4 2022-01-12 0 0001678463 Forterra, Inc. FRTA 0001628240 BHATIA VIKRANT 511 E. JOHN CARPENTER FREEWAY SUITE 600 IRVING TX 75062 0 1 0 0 Pres, Water Pipe & Products Restricted Stock Unit 2022-01-12 4 A 0 38370 0 A Common Stock 38370.0 38370 D Each performance-based restricted stock unit (PSU) represents the right to receive, at settlement, one share of Forterra, Inc. common stock. Reflects PSUs for which the Issuer has certified performance in connection with the pending transaction under that certain Agreement and Plan of Merger dated February 19, 2021 among Quikrete Holdings, Incl, Jordan Merger Sub, Inc. and the Issuer. Such PSUs remain subject to time-based vesting requirements. /s/ Lori M. Browne, attorney-in-fact for Vikrant Bhatia 2022-01-14