0001209191-21-040149.txt : 20210614
0001209191-21-040149.hdr.sgml : 20210614
20210614114701
ACCESSION NUMBER: 0001209191-21-040149
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210601
FILED AS OF DATE: 20210614
DATE AS OF CHANGE: 20210614
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Larson Timothy Mark
CENTRAL INDEX KEY: 0001867111
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-04714
FILM NUMBER: 211013789
MAIL ADDRESS:
STREET 1: C/O SKYLINE CHAMPION CORPORATION
STREET 2: 755 W. BIG BEAVER RD., SUITE 1000
CITY: TROY
STATE: MI
ZIP: 48084
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: 0328
BUSINESS ADDRESS:
STREET 1: 755 W BIG BEAVER ROAD
STREET 2: SUITE 1000
CITY: TROY
STATE: MI
ZIP: 48084
BUSINESS PHONE: 248 614 8211
MAIL ADDRESS:
STREET 1: 755 W BIG BEAVER ROAD
STREET 2: SUITE 1000
CITY: TROY
STATE: MI
ZIP: 48084
FORMER COMPANY:
FORMER CONFORMED NAME: SKYLINE CORP
DATE OF NAME CHANGE: 19920703
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-06-01
0
0000090896
Skyline Champion Corp
SKY
0001867111
Larson Timothy Mark
755 W. BIG BEAVER ROAD
SUITE 1000
TROY
MI
48084
0
1
0
0
Chief Growth Officer
Common Stock
2021-06-01
4
A
0
5227
0.00
A
5227
D
Common Stock
2021-06-01
4
A
0
6098
0.00
A
11325
D
Stock Options (Right to Buy)
53.06
2021-06-01
4
A
0
12616
0.00
A
2031-06-01
Common Stock
12616
12616
D
Represents restricted stock units ("RSUs") granted to the Reporting Person under the Issuer's 2018 Equity Incentive Plan. Each RSU represents the contingent right to receive one share of Common Stock. Subject to the terms of the award agreement evidencing the grant of the RSUs, one-third of the RSUs vests on each of the first three anniversaries of June 1, 2021, provided that the Reporting Person remains in continuous service with the Issuer through each vesting date.
Represents performance-based restricted stock units ("PRSUs") granted to the Reporting Person under the Issuer's 2018 Equity Incentive Plan. Each PRSU represents the contingent right to receive one share of Common Stock. Subject to the terms of the award agreement evidencing the grant of the PRSUs, vesting of a percentage of the PRSUs (including up to 150%) is dependent on the Issuer's total shareholder return from June 1, 2021 through June 1, 2024 relative to the total shareholder return of certain other companies over that same time period, provided that the Reporting Person remains in continuous service with the Issuer through each vesting date.
The stock options will vest as to one-third of the shares subject to the stock option on each of of the first three anniversaries of June 1, 2021, provided that the Reporting Person remains in continuous service with the Issuer through each vesting date.
/s/ Caren A. Ries, Attorney-in-Fact
2021-06-14