Amended Statement of Changes in Beneficial Ownership (4/a)
June 04 2021 - 4:30PM
Edgar (US Regulatory)
FORM 4
[ ]
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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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
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DIMOND ROBERT B |
2. Issuer Name and Ticker or Trading Symbol
Albertsons Companies, Inc.
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ACI
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
EVP & Chief Financial Officer |
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(Last)
(First)
(Middle)
C/O ALBERTSONS COMPANIES, INC., 250 E PARKCENTER BLVD. |
3. Date of Earliest Transaction
(MM/DD/YYYY)
6/30/2020 |
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(Street)
BOISE, ID 83706
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
7/2/2020 |
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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| Class A common stock, par value $0.01 | 6/30/2020 | (1) | P | (2) | 1000 | A | $16.00 | 457508 | 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 |
| Explanation of Responses: |
| (1) | This amendment is being filed to report a purchase inadvertently omitted from the original filing in connection with an IPO reserved share program as discussed in further detail in footnote 2 below. |
| (2) | On July 2, 2020, the reporting person filed a Form 4 reporting 53,579 shares of Class A Common Stock sold on June 30, 2020 in connection with the Issuer's initial public offering at a price of $16.00 per share of Class A Common Stock (the "IPO Transaction"). On June 30, 2020, in connection with the Issuer's initial public offering, the reporting person also purchased 1,000 shares of Class A Common Stock pursuant to a reserved share purchase program at a price of $16.00 per share. Because the reporting person paid underwriter commissions and discounts on the sale of such shares in the IPO Transaction, the reporting person did not realize any profit in connection with the sales in the IPO Transaction and the purchases under the reserved share purchase program as reported herein. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
DIMOND ROBERT B
C/O ALBERTSONS COMPANIES, INC.
250 E PARKCENTER BLVD.
BOISE, ID 83706 |
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| EVP & Chief Financial Officer |
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Signatures
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| /s/ Juliette W. Pryor, Attorney-in-Fact for Robert B. Dimond | | 6/4/2021 |
| **Signature of Reporting Person | Date |
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