0001104659-21-099230.txt : 20210803 0001104659-21-099230.hdr.sgml : 20210803 20210803101740 ACCESSION NUMBER: 0001104659-21-099230 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210723 FILED AS OF DATE: 20210803 DATE AS OF CHANGE: 20210803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Anand Sumit CENTRAL INDEX KEY: 0001744035 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37849 FILM NUMBER: 211138362 MAIL ADDRESS: STREET 1: AT HOME GROUP INC. STREET 2: 1600 EAST PLANO PARKWAY CITY: PLANO STATE: TX ZIP: 75074 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 tm2123866-1_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-07-23 1 0001646228 At Home Group Inc. HOME 0001744035 Anand Sumit AT HOME GROUP INC. 1600 EAST PLANO PARKWAY PLANO TX 75074 0 1 0 0 Chief Information Officer Common Stock 2021-07-23 4 D 0 3247 D 1589 D Common Stock 2021-07-23 4 D 0 1589 37 D 0 D Employee Stock Option (Right to Buy) 17.83 2021-07-23 4 D 0 30953 19.17 D 2026-03-28 Common Stock 30953 0 D Employee Stock Option (Right to Buy) 8.95 2021-07-23 4 D 0 13000 28.05 D 2026-09-12 Common Stock 13000 0 D Employee Stock Option (Right to Buy) 7.58 2021-07-23 4 D 0 62500 29.42 D 2027-06-22 Common Stock 62500 0 D Employee Stock Option (Right to Buy) 27.28 2021-07-23 4 D 0 11110 9.72 D 2028-03-30 Common Stock 11110 0 D Pursuant to a rollover agreement entered into between the reporting person and Ambience Parent, Inc. ("Parent") in connection with the effectuation of the transactions contemplated by the amended and restated merger agreement between the issuer, Parent, and Ambience Merger Sub, Inc. (the "Merger Agreement"), the reporting person exchanged these shares for shares of Parent having an equivalent value as of the effective date of the merger, based on a market value of the issuer shares on the effective date of $37 per share. This amount consists of shares deliverable upon vesting and settlement of restricted stock units. These restricted stock units were cancelled pursuant to the Merger Agreement 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). This option was vested with respect to 20,636 shares and provided for vesting of the remainder of the option on March 28, 2022. This option was cancelled pursuant to the Merger Agreement in exchange for a cash payment equal to, for each share subject to the option, the amount by which the market value of the underlying issuer common stock on the effective date of the merger ($37 per share) exceeded the per share exercise price of the option. This option provided for vesting on January 29, 2022. This option was vested with respect to 20,834 shares and provided for vesting of the remainder of the option in substantially equal annual installments on each of June 22, 2022 and June 22, 2023. The portion of this option that was vested or scheduled to vest on or before July 23, 2022 was cancelled pursuant to the Merger Agreement in exchange for a cash payment equal to, for each share subject to the option, the amount by which the market value of the underlying issuer common stock on the effective date of the merger ($37 per share) exceeded the per share exercise price of the option. The portion of this option scheduled to vest after July 23, 2022 was cancelled pursuant to the Merger Agreement in exchange for a deferred cash payment (or, at the election of the reporting person, a grant of Parent restricted stock or restricted stock units having a grant date value) equal to the amount by which the market value of the underlying issuer common stock on the effective date of the merger ($37 per share) exceeded the exercise price of the option, subject to vesting on the same schedule as the cancelled option. This option provided for vesting in three substantially equal annual installments beginning on March 30, 2022. /s/ Mary Jane Broussard, Attorney-in-Fact for Anand Sumit 2021-08-03