0000899243-20-029170.txt : 20201023 0000899243-20-029170.hdr.sgml : 20201023 20201023155217 ACCESSION NUMBER: 0000899243-20-029170 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201022 FILED AS OF DATE: 20201023 DATE AS OF CHANGE: 20201023 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Baldwin Shawn K. CENTRAL INDEX KEY: 0001759369 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38632 FILM NUMBER: 201257716 MAIL ADDRESS: STREET 1: C/O SELECT INTERIOR CONCEPTS, INC. STREET 2: 4900 EAST HUNTER AVENUE CITY: ANAHEIM STATE: CA ZIP: 92807 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 2020-10-22 0 0001723866 Select Interior Concepts, Inc. SIC 0001759369 Baldwin Shawn K. 400 GALLERIA PARKWAY, SUITE 1760 ATLANTA GA 30339 0 1 0 0 See Remarks Class A Common Stock 2020-10-22 4 F 0 7525 0.00 D 165764 D The 7,525 shares of Class A Common Stock were withheld by the Company to cover taxes associated with the vesting of the 25,000 shares previously awarded under the 2017 Incentive Compensation Plan on October 22, 2018. General Counsel and Corporate Secretary /s/ Shawn K. Baldwin 2020-10-23