SEC Form 4
FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol Jason Industries, Inc. [ JASN ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 08/04/2016 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
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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) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 08/04/2016 | S | 16,198 | D | $2.9799(6) | 82,891 | I | See Footnote(1) | ||
Common Stock | 08/04/2016 | S | 78,275 | D | $2.9818(6) | 331,654 | I | See Footnote(2) | ||
Common Stock | 08/04/2016 | S | 16 | D | $3.003(6) | 87,801 | I | See Footnote(3) | ||
Common Stock | 08/04/2016 | S | 38,165 | D | $2.97(6) | 338,657 | I | See Footnote(4) | ||
Common Stock | 08/04/2016 | S | 16 | D | $3.003(6) | 26,227 | I | See Footnote(5) | ||
Common Stock | 08/05/2016 | S | 6,975 | D | $2.5828(7) | 75,916 | I | See Footnote(1) | ||
Common Stock | 08/05/2016 | S | 31,488 | D | $2.5827(7) | 300,166 | I | See Footnote(2) | ||
Common Stock | 08/05/2016 | S | 4 | D | $2.6294(7) | 87,797 | I | See Footnote(3) | ||
Common Stock | 08/05/2016 | S | 20,974 | D | $2.5832(7) | 317,683 | I | See Footnote(4) | ||
Common Stock | 08/05/2016 | S | 4 | D | $2.6294(7) | 26,223 | I | See Footnote(5) | ||
Common Stock | 08/08/2016 | S | 990 | D | $2.4183(8) | 74,926 | I | See Footnote(1) | ||
Common Stock | 08/08/2016 | S | 4,432 | D | $2.4183(8) | 295,734 | I | See Footnote(2) | ||
Common Stock | 08/08/2016 | S | 4 | D | $2.42(8) | 87,793 | I | See Footnote(3) | ||
Common Stock | 08/08/2016 | S | 3,141 | D | $2.4182(8) | 314,542 | I | See Footnote(4) | ||
Common Stock | 08/08/2016 | S | 4 | D | $2.42(8) | 26,219 | I | See Footnote(5) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) | 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: 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 |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
1. The securities are held by Scopus Partners, L.P. ("SPLP"). Scopus Advisors, LLC ("Scopus Advisors") is the general partner of SPLP. Alex Mitchell owns 100% of the equity interests of Scopus Advisors. The reporting persons disclaim pecuniary interest in the reported securities except to the extent of their respective economic interest. |
2. The securities are held by Scopus Partners II, L.P. ("SPIILP"). Scopus Advisors is the general partner of SPIILP. Alex Mitchell owns 100% of the equity interests of Scopus Advisors. The reporting persons disclaim pecuniary interest in the reported securities except to the extent of their respective economic interest. |
3. The securities are held by Scopus Vista Partners, L.P. ("SVPLP"). Scopus Advisors is the general partner of SVPLP. Alex Mitchell owns 100% of the equity interests of Scopus Advisors. The reporting persons disclaim pecuniary interest in the reported securities except to the extent of their respective economic interest. |
4. The securities are held by Scopus Fund Ltd. ("SFL"). Alex Mitchell owns an equity interest in SFL and indirectly controls SFL. The reporting persons disclaim pecuniary interest in the reported securities except to the extent of their respective economic interest. |
5. The securities are held by Scopus Vista Fund Ltd. ("SVFL"). Alex Mitchell owns an equity interest in SVFL and indirectly controls SVFL. The reporting persons disclaim pecuniary interest in the reported securities except to the extent of their respective economic interest. |
6. The price reported in Column 4 is a weighted average price. These securities were sold in multiple transactions at prices ranging from $2.6921 to $3.50. The reporting persons undertake 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 ranges set forth in this footnote. |
7. The price reported in Column 4 is a weighted average price. These securities were sold in multiple transactions at prices ranging from $2.5444 to $2.80. The reporting persons undertake 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 ranges set forth in this footnote. |
8. The price reported in Column 4 is a weighted average price. These securities were sold in multiple transactions at prices ranging from $2.39 to $2.435. The reporting persons undertake 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 ranges set forth in this footnote. |
Remarks: |
/s/ Daniel Aharon, for Alex Mitchell, by power of attorney | 08/08/2016 | |
/s/ Daniel Aharon, for Scopus Advisors, LLC, by power of attorney | 08/08/2016 | |
/s/ Daniel Aharon, for Scopus Partners, L.P., by power of attorney | 08/08/2016 | |
/s/ Daniel Aharon, for Scopus Partners II, L.P., by power of attorney | 08/08/2016 | |
/s/ Daniel Aharon, for Scopus Vista Partners, L.P., by power of attorney | 08/08/2016 | |
/s/ Daniel Aharon, for Scopus Fund Ltd., by power of attorney | 08/08/2016 | |
/s/ Daniel Aharon, for Scopus Vista Fund Ltd., by power of attorney | 08/08/2016 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |