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