0000899243-20-016005.txt : 20200610 0000899243-20-016005.hdr.sgml : 20200610 20200610191023 ACCESSION NUMBER: 0000899243-20-016005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200608 FILED AS OF DATE: 20200610 DATE AS OF CHANGE: 20200610 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Varner Leo William Jr. CENTRAL INDEX KEY: 0001814786 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38632 FILM NUMBER: 20955822 MAIL ADDRESS: STREET 1: 400 GALLERIA PKWY SE STREET 2: SUITE 1760 CITY: ATLANTA STATE: GA ZIP: 30339 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: 4900 EAST HUNTER AVENUE CITY: ANAHEIM STATE: CA ZIP: 92807 BUSINESS PHONE: (888)701-4737 MAIL ADDRESS: STREET 1: 4900 EAST HUNTER AVENUE CITY: ANAHEIM STATE: CA ZIP: 92807 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-06-08 0 0001723866 Select Interior Concepts, Inc. SIC 0001814786 Varner Leo William Jr. 400 GALLERIA PARKWAY, SUITE 1760 ATLANTA GA 30339 0 1 0 0 Chief Executive Officer Class A Common Stock 2020-06-08 4 A 0 500000 0.00 A 500000 D Class A Common Stock 2020-06-10 4 P 0 25000 4.26 A 525000 D Restricted Stock Units 0.00 2020-06-08 4 A 0 500000 0.00 A 2024-06-08 Class A Common Stock 500000 500000 D Reflects restricted stock units convertible into shares of Class A Common Stock that were granted as an employment inducement award pursuant to Nasdaq rules on June 8, 2020, which vest in equal installments annually over four years, provided the Reporting Person remains employed by the Issuer through the applicable vesting date. Reflects performance-based RSUs that each represent a contingent right to receive one share of Class A Common Stock. The RSUs vest on the third and fourth anniversaries of the grant date 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. /s/ Shawn K. Baldwin, attorney-in-fact 2020-06-10