Statement of Changes in Beneficial Ownership (4)
03 Agosto 2021 - 12:00PM
Edgar (US Regulatory)
FORM 4
[X]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
FRANCIS PHILIP L |
2. Issuer Name and Ticker or Trading Symbol
At Home Group Inc.
[
HOME
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
AT HOME GROUP INC., 1600 EAST PLANO PARKWAY |
3. Date of Earliest Transaction
(MM/DD/YYYY)
7/22/2021 |
(Street)
PLANO, TX 75074
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 7/22/2021 | | U | | 50709 | D | $37 | 5132 (1) | D | |
Common Stock | 7/22/2021 | | U | | 82883 | D | $37 | 0 | I | Held by Francis Revocable Trust (2) |
Common Stock | 7/23/2021 | | D | | 5132 (3) | D | $37 | 0 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Stock Option (Right to Buy) | $17.56 | 7/23/2021 | | D | | | 56517 | (4) | 4/8/2025 | Common Stock | 56517 | $19.44 (5) | 0 | D | |
Explanation of Responses: |
(1) | This amount consists of shares deliverable upon vesting and settlement of restricted stock units. |
(2) | The reporting person beneficially owns these shares of the issuer's common stock indirectly through the Francis Revocable Trust (the "Trust"). The reporting person and his wife serve as the trustees and are the beneficiaries of the Trust. |
(3) | These restricted stock units were cancelled pursuant to the amended and restated merger agreement between issuer, Ambience Parent, Inc. and Ambience Merger Sub, Inc. in exchange for a cash payment equal to the market value of the underlying issuer common stock on the effective date of the merger ($37 per share). |
(4) | This option was fully vested and exercisable as of the cancellation date. |
(5) | This option was cancelled pursuant to the amended and restated merger agreement between issuer, Ambience Parent, Inc. and Ambience Merger Sub, Inc. in exchange for a cash payment in an amount representing the difference between, for each share in respect of the option, the exercise price of the option and the market value of the underlying issuer common stock on the effective date of the merger ($37 per share). |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
FRANCIS PHILIP L AT HOME GROUP INC. 1600 EAST PLANO PARKWAY PLANO, TX 75074 | X |
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Signatures
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/s/ Mary Jane Broussard, Attorney-in-Fact for Philip L. Francis | | 8/3/2021 |
**Signature of Reporting Person | Date |
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