SEC Form 3
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 02/22/2022 | 3. Issuer Name and Ticker or Trading Symbol Albertsons Companies, Inc. [ ACI ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. 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 Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Class A common stock, par value $0.01 | 31,433 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Performance-based Restricted Stock Units | (1) | (1) | Class A common stock, par value $0.01 | 34,013 | (1) | D | |
Performance-based Restricted Stock Units | (2) | (2) | Class A common stock, par value $0.01 | 20,129 | (2) | D | |
Time-based Restricted Stock Units | (3) | (3) | Class A common stock, par value $0.01 | 73,696 | (3) | D | |
Time-based Restricted Stock Units | (4) | (4) | Class A common stock, par value $0.01 | 13,568 | (4) | D | |
Time-based Restricted Stock Units | (5) | (5) | Class A common stock, par value $0.01 | 25,729 | (5) | D | |
Performance-based Restricted Stock Units | (6) | (6) | Class A common stock, par value $0.01 | 25,729 | (6) | D |
Explanation of Responses: |
1. Each performance-based restricted stock unit represents a contractual right to receive one share of Class A common stock of the Company. The awards will fully vest on February 25, 2023, as long as the reporting person remains continuously employed through the vesting date. These performance restricted stock units are subject to the attainment of performance goals for 2023 fiscal year of the Company. The reported number of performance restricted stock units represents the "target" amount of the award and the actual number of units earned will depend upon satisfaction of the performance goals. |
2. Each performance-based restricted stock unit represents a contractual right to receive one share of Class A common stock of the Company. The awards will fully vest on February 24, 2024, as long as the reporting person remains continuously employed through each vesting date. These performance restricted stock units are subject to the attainment of performance goals for the 2023 and 2024 fiscal years of the Company. The reported number of performance restricted stock units represents the "target" amount of the award and the actual number of units earned will depend upon satisfaction of the performance goals. |
3. Each time-based restricted stock unit represents a contractual right to receive one share of Class A common stock of the Company. The awards will vest in three equal annual installments which commenced on October 13, 2021, as long as the reporting person remains continuously employed through each vesting date. |
4. Each time-based restricted stock unit represents a contractual right to receive one share of Class A common stock of the Company. The awards will vest in three equal annual installments which commenced on February 26, 2022, as long as the reporting person remains continuously employed through each vesting date. |
5. Each time-based restricted stock unit represents a contractual right to receive one share of Class A common stock of Albertsons Companies, Inc. The awards will vest in three equal installments on February 25, 2023, February 24, 2024 and February 22, 2025 as long as the reporting person remains continuously employed through such respective date. |
6. Each performance-based restricted stock unit represents a contractual right to receive one share of Class A common stock of the Company. These performance restricted stock units are subject to the attainment of performance goals for the 2022, 2023 and 2024 fiscal years of the Company. The reported number of performance restricted stock units represents the "target" amount of the award and the actual number of units earned will depend upon satisfaction of the performance goals. |
Remarks: |
/s/ Bipasha Mukherjee, attorney-in-fact | 03/04/2022 | |
** 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 5 (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. |