0000899243-16-034205.txt : 20161122
0000899243-16-034205.hdr.sgml : 20161122
20161122213839
ACCESSION NUMBER: 0000899243-16-034205
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: TEHLE DAVID M
CENTRAL INDEX KEY: 0001245010
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37786
FILM NUMBER: 162014694
MAIL ADDRESS:
STREET 1: 100 MISSION RIDGE
CITY: GOODLETTSVILLE
STATE: TN
ZIP: 37072
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
0001245010
TEHLE DAVID M
9399 W. HIGGINS ROAD
ROSEMONT
IL
60018
1
0
0
0
Stock Option (right to buy)
23.50
2016-11-11
4
A
0
1624
0.00
A
2026-11-11
Common Stock
1624
1624
D
Restricted Stock Units
2016-11-11
4
A
0
532
0.00
A
Common Stock
532
532
D
Due to an administrative error, 1,623 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, 532 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