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 US Foods Holding Corp. [ USFD ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 03/26/2021 | ||||||||||||||||||||||||||
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 | 03/26/2021 | M | 3,311 | A | $0 | 57,375 | D | |||
Common Stock | 03/26/2021 | F | 1,872 | D | $37.14 | 55,503 | D | |||
Common Stock | 03/29/2021 | A | 13,532 | A | $0(1) | 69,035 | D | |||
Common Stock | 03/29/2021 | A | 5,819 | A | $0(2) | 74,854 | D |
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 | ||||||||
Restricted Stock Units | (3) | 03/26/2021 | M | 3,311 | (4) | (4) | Common Stock | 3,311 | $0 | 0 | D | ||||
Employee Stock Option (right to buy) | $36.95 | 03/29/2021 | A | 26,825 | (5) | 03/29/2031 | Common Stock | 26,825 | $0 | 26,825 | D | ||||
Restricted Stock Units | (6) | 03/29/2021 | A | 25,373 | (7) | (7) | Common Stock | 25,373 | $0 | 25,373 | D |
Explanation of Responses: |
1. The restricted stock units were granted on March 29, 2021 and vest in three equal annual installments beginning on March 29, 2022. Each restricted stock unit represents a right to receive one share of the Issuer's common stock. |
2. The restricted stock units were granted on March 29, 2021 and vest on the one-year anniversary of the grant date. Each restricted stock unit represents a right to receive one share of the Issuer's common stock. |
3. Each restricted stock unit represents a right to receive one share of the Issuer's common stock or, in the Compensation Committee's discretion, cash equal to the fair market value of one share of the Issuer's common stock on the vesting date. |
4. The restricted stock units were granted on March 26, 2018 and vested annually in three equal installments beginning on March 26, 2019. |
5. The stock option was granted on March 29, 2021 and vests and becomes exercisable in three equal annual installments beginning on March 29, 2022. |
6. Each performance-based restricted stock unit represents a contingent right to receive one share of the Company's common stock on the vesting date. |
7. The performance-based restricted stock units will vest based on the Company's achievement of certain total shareholder return goals during the relevant performance period. |
Remarks: |
/s/ Kathryn J. Holahan, Attorney-In-Fact | 03/30/2021 | |
** 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. |