0000899243-16-034204.txt : 20161122 0000899243-16-034204.hdr.sgml : 20161122 20161122213817 ACCESSION NUMBER: 0000899243-16-034204 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: Kvasnicka Jay CENTRAL INDEX KEY: 0001675419 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-37786 FILM NUMBER: 162014693 MAIL ADDRESS: STREET 1: C/O US FOODS HOLDING CORP. STREET 2: 9399 W. HIGGINS RD. CITY: ROSEMONT STATE: IL ZIP: 60018 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 0001675419 Kvasnicka Jay 9399 W. HIGGINS ROAD ROSEMONT IL 60018 0 1 0 0 See Remarks Stock Option (right to buy) 23.50 2016-11-11 4 A 0 10147 0.00 A 2026-11-11 Common Stock 10147 10147 D Restricted Stock Units 2016-11-11 4 A 0 1109 0.00 A Common Stock 1109 1109 D Due to an administrative error, the number of time-based stock options reported on the Reporting Person's original Form 4 was underreported by 3,382 stock options. 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, the number of time-based restricted stock units reported on the Reporting Person's original Form 4 was over reported by 1,108 restricted stock units. 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. Executive Vice President, Locally-Managed Sales and Field Operations /s/ James Pyle, Attorney-in-Fact 2016-11-22