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)
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2. Date of Event Requiring Statement
(Month/Day/Year) 05/22/2023 |
3. Issuer Name and Ticker or Trading Symbol
US Foods Holding Corp. [ USFD ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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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) |
Common Stock | 21,048 | D | |
Restricted Stock Units | 16,157(1)(2)(3)(4)(5) | 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 | ||||
Employee Stock Option (right to buy) | 03/29/2022(6) | 03/29/2031 | Common Stock | 6,707(6) | 36.95 | D | |
Employee Stock Option (right to buy) | 03/23/2021(7) | 03/23/2030 | Common Stock | 15,072(7) | 13.29 | D | |
Employee Stock Option (right to buy) | 03/25/2020(7) | 03/25/2029 | Common Stock | 5,199(7) | 34.56 | D | |
Employee Stock Option (right to buy) | 03/26/2019(7) | 03/26/2028 | Common Stock | 6,431(7) | 33.56 | D |
Explanation of Responses: |
1. Certain of these restricted stock units (5,232) were granted on March 27, 2023 and vest in three equal annual installments beginning March 27, 2024. Each restricted stock unit represents a right to receive one share of the Issuer's common stock. |
2. Certain of these restricted stock units (4,209) were granted on June 6, 2022 and vest on the one year anniversary. Each restricted stock unit represents a right to receive one share of the Issuer's common stock. |
3. Certain of these restricted stock units were granted on March 28, 2022 and vest in three equal tranches. One third of the restricted stock units have been distributed. The remaining restricted stock units (2,477) will vest in equal tranches on March 28, 2024, and 2025. Each restricted stock unit represents a right to receive one share of the Issuer's common stock. |
4. Certain of these restricted stock units were granted on March 29, 2021 and vest in three equal tranches. Two thirds of the restricted stock units have been distributed. The remaining restricted stock units (1,128) will vest on March 29, 2024. Each restricted stock unit represents a right to receive one share of the Issuer's common stock. |
5. Certain of these restricted stock units were granted on November 2, 2020 and vest in three equal tranches. Two thirds of the restricted stock units have been distributed. The remaining restricted stock units (3,111) will vest on November 2, 2023. Each restricted stock unit represents a right to receive one share of the Issuer's common stock. |
6. Time-based stock options granted on March 29, 2021. Two thirds of these stock options have vested and are exercisable. The remaining stock options (2,236) will vest on March 29, 2024. |
7. All options reported on this line are exercisable. |
Remarks: |
Stephanie D. Miller, Attorney-in-Fact | 06/01/2023 | |
** 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. |