0000899243-16-034203.txt : 20161122 0000899243-16-034203.hdr.sgml : 20161122 20161122213810 ACCESSION NUMBER: 0000899243-16-034203 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161111 FILED AS OF DATE: 20161122 DATE AS OF CHANGE: 20161122 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: US Foods Holding Corp. CENTRAL INDEX KEY: 0001665918 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & RELATED PRODUCTS [5140] IRS NUMBER: 260347906 STATE OF INCORPORATION: DE FISCAL YEAR END: 0102 BUSINESS ADDRESS: STREET 1: 9399 W. HIGGINS RD. STREET 2: SUITE 500 CITY: ROSEMONT STATE: IL ZIP: 60018 BUSINESS PHONE: 8477208000 MAIL ADDRESS: STREET 1: 9399 W. HIGGINS RD. STREET 2: SUITE 500 CITY: ROSEMONT STATE: IL ZIP: 60018 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lederer John Anthony CENTRAL INDEX KEY: 0001388540 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-37786 FILM NUMBER: 162014692 MAIL ADDRESS: STREET 1: 1601 - 1410 1ST STREET SOUTH EAST CITY: CALGARY STATE: A0 ZIP: T2G 5T1 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2016-11-11 2016-11-15 0 0001665918 US Foods Holding Corp. USFD 0001388540 Lederer John Anthony 9399 W. HIGGINS ROAD ROSEMONT IL 60018 1 0 0 0 Stock Option (right to buy) 23.50 2016-11-11 4 A 0 3247 0.00 A 2026-11-11 Common Stock 3247 3247 D Restricted Stock Units 2016-11-11 4 A 0 1064 0.00 A Common Stock 1064 1064 D Due to an administrative error, 3,247 performance-based stock options were reported as time-based stock options on the Reporting Person's original Form 4. Time-based stock options granted on November 11, 2016. The time-based stock options will vest and become exercisable in equal annual installments on each June 3, 2017, 2018, 2019 and 2020, contingent on the reporting person's continued service with the Issuer. Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. Due to an administrative error, 1,064 performance-based restricted stock units were reported as time-based restricted stock units on the Reporting Person's original Form 4. Time-based restricted stock units granted on November 11, 2016. The time-based restricted stock units will vest on each June 3, 2017, 2018, 2019 and 2020, contingent on the reporting person's continued service with the Issuer. /s/ James Pyle, Attorney-in-Fact 2016-11-22