0001213900-17-007706.txt : 20170718 0001213900-17-007706.hdr.sgml : 20170718 20170718170243 ACCESSION NUMBER: 0001213900-17-007706 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170714 FILED AS OF DATE: 20170718 DATE AS OF CHANGE: 20170718 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Matthews Timothy Allen CENTRAL INDEX KEY: 0001711764 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38115 FILM NUMBER: 17970027 MAIL ADDRESS: STREET 1: 1 GREENWICH OFFICE PARK, 2ND FLOOR CITY: GREENWICH STATE: CT ZIP: 06831 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Simply Good Foods Co CENTRAL INDEX KEY: 0001702744 STANDARD INDUSTRIAL CLASSIFICATION: FOOD & KINDRED PRODUCTS [2000] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 31 WEST 52ND STREET, 21ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10019 BUSINESS PHONE: 212-429-2211 MAIL ADDRESS: STREET 1: 31 WEST 52ND STREET, 21ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10019 4 1 f4071417matthews_simply.xml OWNERSHIP DOCUMENT X0306 4 2017-07-14 0 0001702744 Simply Good Foods Co SMPL 0001711764 Matthews Timothy Allen 1050 17TH STREET, SUITE 1500 DENVER CO 80265 0 1 0 0 VP, Controller and CAO Options to Purchase Common Stock 12.00 2017-07-14 4 A 0 42071 A Common Stock 42071 42071 D Represents options to purchase common stock of the Issuer on a one to one basis awarded pursuant to the Issuer's 2017 Long Term Incentive Plan. Options vest and become exercisable in three equal installments on July 14, 2018, July 14, 2019 and July 14, 2020, subject to the recipient's continued service with the Company from the date of grant on July 14, 2017. The options expire on the ten-year anniversary of the award. /s/ Annita M. Menogan, as Attorney-in-Fact for Timothy A. Matthews 2017-07-18