0001209191-17-052815.txt : 20170914
0001209191-17-052815.hdr.sgml : 20170914
20170914162319
ACCESSION NUMBER: 0001209191-17-052815
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170912
FILED AS OF DATE: 20170914
DATE AS OF CHANGE: 20170914
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Christenson Gregory Stephen
CENTRAL INDEX KEY: 0001668689
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37530
FILM NUMBER: 171085889
MAIL ADDRESS:
STREET 1: 500 WEST 5TH STREET
CITY: AUSTIN
STATE: TX
ZIP: 78701
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-09-12
0
0001640313
Amplify Snack Brands, INC
BETR
0001668689
Christenson Gregory Stephen
500 WEST 5TH STREET
AUSTIN
TX
78701
0
1
0
0
See Remarks
Common Stock
2017-09-12
4
A
0
144687
0.00
A
147687
D
Stock Option (Right to Buy)
7.04
2017-09-12
4
A
0
699704
0.00
A
2027-09-11
Common Stock
699704
699704
D
These shares represent Restricted Stock Units (each, an "RSU") and will be settled in the Issuer's Common Stock upon vesting. Each RSU represents a contingent right to receive one share of the Issuer's Common Stock. The RSUs will vest according to the following schedule: 1/3rd of the RSUs shall vest on September 30, 2018 and 1/36th of the RSUs shall vest on the last day of each month thereafter, provided that the Reporting Person continues to have a service relationship with the Issuer through each such date.
The shares subject to the option will vest according to the following schedule: 1/3rd of the shares shall vest on September 12, 2018 and 1/36th of the shares shall vest on the last day of each month thereafter, provided that the Reporting Person continues to have a service relationship with the Issuer through each such date.
Executive Vice President and Chief Financial Officer
/s/ Bradley C. Weber, as Attorney-in-Fact to the Reporting Person
2017-09-14