0000899243-20-030584.txt : 20201106 0000899243-20-030584.hdr.sgml : 20201106 20201106165007 ACCESSION NUMBER: 0000899243-20-030584 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201105 FILED AS OF DATE: 20201106 DATE AS OF CHANGE: 20201106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Moiz Nadeem CENTRAL INDEX KEY: 0001711261 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38632 FILM NUMBER: 201295092 MAIL ADDRESS: STREET 1: 26600 TELEGRAPH ROAD, SUITE 400 CITY: SOUTHFIELD STATE: MI ZIP: 48033 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Select Interior Concepts, Inc. CENTRAL INDEX KEY: 0001723866 STANDARD INDUSTRIAL CLASSIFICATION: GEN BUILDING CONTRACTORS - RESIDENTIAL BUILDINGS [1520] IRS NUMBER: 474640296 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 GALLERIA PARKWAY STREET 2: SUITE 1760 CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: (888)701-4737 MAIL ADDRESS: STREET 1: 400 GALLERIA PARKWAY STREET 2: SUITE 1760 CITY: ATLANTA STATE: GA ZIP: 30339 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-11-05 0 0001723866 Select Interior Concepts, Inc. SIC 0001711261 Moiz Nadeem 400 GALLERIA PARKWAY, SUITE 1760 ATLANTA GA 30339 0 1 0 0 See Remarks Class A Common Stock 2020-11-05 4 A 0 75000 0.00 A 271301 D Restricted Stock Units 2020-11-05 4 A 0 75000 A 2024-11-05 Common Stock 75000 75000 D Reflects restricted stock units (RSUs) convertible into shares of Class A Common Stock which vest in equal annual installments over four years, subject to the reporting person's continued employment with the Issuer. Reflects performance-based RSUs that each represent a contingent right to receive one share of Class A Common Stock. The RSUs vest based on the closing price of the Issuer's common stock exceeding specific hurdles for 20 consecutive trading days, and subject to the reporting person's continued employment with the Issuer. Chief Financial Officer; Chief Operating Officer /s/ Shawn K. Baldwin, attorney-in-fact 2020-11-06