0000899243-20-020541.txt : 20200728 0000899243-20-020541.hdr.sgml : 20200728 20200728163510 ACCESSION NUMBER: 0000899243-20-020541 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200727 FILED AS OF DATE: 20200728 DATE AS OF CHANGE: 20200728 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dussinger Patrick CENTRAL INDEX KEY: 0001819339 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38632 FILM NUMBER: 201054302 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 2020-07-27 0 0001723866 Select Interior Concepts, Inc. SIC 0001819339 Dussinger Patrick 400 GALLERIA PARKWAY, SUITE 1760 ATLANTA GA 30339 0 1 0 0 President-ASG Class A Common Stock 2020-07-27 4 A 0 112500 0.00 A 112500 D Restricted Stock Units 0.00 2020-07-27 4 A 0 112500 0.00 A 2024-06-08 Class A Common Stock 112500 112500 D Reflects restricted stock units (RSUs) convertible into shares of Class A Common Stock that were granted as an employment inducement award pursuant to Nasdaq rules, which vest in equal installments annually over four years beginning on June 8, 2021, 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 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 2020-07-28