0001209191-16-108610.txt : 20160315 0001209191-16-108610.hdr.sgml : 20160315 20160315172550 ACCESSION NUMBER: 0001209191-16-108610 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160314 FILED AS OF DATE: 20160315 DATE AS OF CHANGE: 20160315 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Amplify Snack Brands, INC CENTRAL INDEX KEY: 0001640313 STANDARD INDUSTRIAL CLASSIFICATION: FOOD & KINDRED PRODUCTS [2000] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 500 WEST 5TH STREET CITY: AUSTIN STATE: TX ZIP: 78701 BUSINESS PHONE: 847-982-9800 MAIL ADDRESS: STREET 1: 500 WEST 5TH STREET CITY: AUSTIN STATE: TX ZIP: 78701 FORMER COMPANY: FORMER CONFORMED NAME: TA Holdings 1, Inc. DATE OF NAME CHANGE: 20150422 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shiver Jason CENTRAL INDEX KEY: 0001648749 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37530 FILM NUMBER: 161507960 MAIL ADDRESS: STREET 1: C/O AMPLIFY SNACK BRANDS, INC. STREET 2: 500 WEST 5TH STREET CITY: AUSTIN STATE: TX ZIP: 78701 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-03-14 0 0001640313 Amplify Snack Brands, INC BETR 0001648749 Shiver Jason C/O AMPLIFY SNACK BRANDS, INC. 500 WEST 5TH STREET AUSTIN TX 78701 0 1 0 0 SVP of Sales Common Stock 2016-03-14 4 P 0 3850 12.7213 A 1221456 D This transaction was executed in multiple trades at prices ranging from $12.67 to $12.76. The price reported above reflects the weighted average purchase price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. /s/ Bradley C. Weber as Attorney-in-Fact to the Reporting Person 2016-03-15