0001209191-23-058931.txt : 20231218
0001209191-23-058931.hdr.sgml : 20231218
20231218151342
ACCESSION NUMBER: 0001209191-23-058931
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231215
FILED AS OF DATE: 20231218
DATE AS OF CHANGE: 20231218
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Anderson Keith A
CENTRAL INDEX KEY: 0001527604
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-04714
FILM NUMBER: 231493510
MAIL ADDRESS:
STREET 1: C/O CHAMPION ENTERPRISES HOLDINGS LLC
STREET 2: 755 W BIG BEAVER RD, #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]
ORGANIZATION NAME: 04 Manufacturing
IRS NUMBER: 351038277
STATE OF INCORPORATION: IN
FISCAL YEAR END: 0401
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
X0508
4
2023-12-15
0
0000090896
Skyline Champion Corp
SKY
0001527604
Anderson Keith A
C/O SKYLINE CHAMPION CORPORATION
755 W. BIG BEAVER RD, SUITE 1000
TROY
MI
48084
1
0
0
0
0
Common Stock
2023-12-15
4
M
0
18750
15.00
A
256848
D
Common Stock
2023-12-15
4
S
0
18750
73.00
D
238098
D
Stock Option (Right to Buy)
15.00
2023-12-15
4
M
0
18750
0.00
D
2023-07-01
2029-01-03
Common Stock
18750
0
D
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $72.81 to $73.55. The
Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer or the staff of the Securities and Exchange Commission, upon request,
full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
The stock options vested as to one-third of the shares subject to the stock option on each of July 1, 2019, July 1, 2020 and July 1, 2021.
/s/ Caren A. Ries, Attorney-In-Fact
2023-12-18