0000899243-21-041351.txt : 20211022 0000899243-21-041351.hdr.sgml : 20211022 20211022191033 ACCESSION NUMBER: 0000899243-21-041351 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211021 FILED AS OF DATE: 20211022 DATE AS OF CHANGE: 20211022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Vansant Robert Scott CENTRAL INDEX KEY: 0001748870 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38632 FILM NUMBER: 211341838 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 2021-10-21 1 0001723866 Select Interior Concepts, Inc. SIC 0001748870 Vansant Robert Scott 400 GALLERIA PARKWAY, SUITE 1760 ATLANTA GA 30339 1 0 0 0 Class A Common Stock 2021-10-21 4 D 0 31173 14.50 D 0 D Disposed of pursuant to merger agreement between issuer and Astro Stone Intermediate holding, LLC in exchange for a cash payment equal to the per share merger consideration ($14.50). /s/ Scott Jarvis, attorney-in-fact 2021-10-22