0000899243-18-016017.txt : 20180611 0000899243-18-016017.hdr.sgml : 20180611 20180611165252 ACCESSION NUMBER: 0000899243-18-016017 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180604 FILED AS OF DATE: 20180611 DATE AS OF CHANGE: 20180611 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Osnoss Daniel R. CENTRAL INDEX KEY: 0001742272 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04714 FILM NUMBER: 18892555 MAIL ADDRESS: STREET 1: C/O CENTERBRIDGE PARTNERS STREET 2: 375 PARK AVENUE, 12TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10152 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Skyline Champion Corp CENTRAL INDEX KEY: 0000090896 STANDARD INDUSTRIAL CLASSIFICATION: MOBILE HOMES [2451] IRS NUMBER: 351038277 STATE OF INCORPORATION: IN FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 2520 BY-PASS RD STREET 2: P O BOX 743 CITY: ELKHART STATE: IN ZIP: 46515 BUSINESS PHONE: 5742946521 MAIL ADDRESS: STREET 1: P O BOX 743 CITY: ELKHART STATE: IN ZIP: 46515 FORMER COMPANY: FORMER CONFORMED NAME: SKYLINE CORP DATE OF NAME CHANGE: 19920703 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2018-06-04 1 0000090896 Skyline Champion Corp SKY 0001742272 Osnoss Daniel R. C/O SKYLINE CHAMPION CORPORATION P.O. BOX 743, 2520 BY-PASS ROAD ELKHART IN 46515 1 0 0 0 Mr. Osnoss, a senior managing director at Centerbridge Partners, L.P. or one of its affiliates ("Centerbridge"), is a member of the board of directors of Skyline Champion Corporation (the "Issuer"). Certain affiliates of Centerbridge have filed a separate Form 3 reporting securities of the Issuer that they may be deemed to beneficially own. Mr. Osnoss disclaims beneficial ownership of any securities of the Issuer that may be deemed to be beneficially owned by affiliates of Centerbridge. /s/ Daniel Osnoss 2018-06-11