0001959173-23-003683.txt : 20230901 0001959173-23-003683.hdr.sgml : 20230901 20230901165400 ACCESSION NUMBER: 0001959173-23-003683 CONFORMED SUBMISSION TYPE: 144 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20230901 DATE AS OF CHANGE: 20230901 SUBJECT COMPANY: 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: 0401 FILING VALUES: FORM TYPE: 144 SEC ACT: 1933 Act SEC FILE NUMBER: 001-04714 FILM NUMBER: 231233214 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 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: Anderson Keith A CENTRAL INDEX KEY: 0001527604 FILING VALUES: FORM TYPE: 144 MAIL ADDRESS: STREET 1: C/O CHAMPION ENTERPRISES HOLDINGS LLC STREET 2: 755 W BIG BEAVER RD, #1000 CITY: TROY STATE: MI ZIP: 48084 144 1 primary_doc.xml 144 0001527604 XXXXXXXX LIVE 0000090896 Skyline Champion Corp 001-04714 755 W BIG BEAVER ROAD SUITE 1000 TROY MI 48084 248 614 8211 Anderson Keith A Director Common Fidelity Brokerage Services LLC
900 Salem Street Smithfield RI 02917
5000 366279.73 57133392 09/01/2023 NYSE
Common 09/01/2023 Option Granted 01/03/2019 Issuer N 5000 09/01/2023 Cash N Keith A. Anderson
755 West Big Beaver Road Suite 1000 Troy MI 48084
Common 08/30/2023 10000 726400.50
09/01/2023 09/01/2023 /s/ Jodi Disselkamp, as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Keith A. Anderson