Amended Statement of Changes in Beneficial Ownership (4/a)
June 17 2021 - 5:27PM
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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3235-0287
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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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DHANDA ANUJ |
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 & CIO |
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(Last)
(First)
(Middle)
C/O ALBERTSONS COMPANIES, INC., 250 E PARKCENTER BLVD. |
3. Date of Earliest Transaction
(MM/DD/YYYY)
2/27/2021 |
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(Street)
BOISE, ID 83706
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
3/2/2021 |
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 | 2/27/2021 | | M | | 42948 | A | (1) | 302588 | D | |
| Class A common stock, par value $0.01 | 2/27/2021 | | F | | 21294 | D | $16.66 | 281294 | D | |
| Class A common stock, par value $0.01 | 2/27/2021 | | M | | 1718 | A | (2) | 283012 | D | |
| Class A common stock, par value $0.01 | 2/27/2021 | | F | | 852 | D | $16.66 | 282160 | 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 |
| Restricted Stock Unit | (1) | 2/27/2021 | | M | | | 42948 | (1) | (1) | Class A common stock, par value $0.01 | 42948 | (1) | 0 | D | |
| Restricted Stock Unit | (2) | 2/27/2021 | | M | | | 1718 | (2) | (2) | Class A common stock, par value $0.01 | 1718 | (2) | 0 | D | |
| Explanation of Responses: |
| (1) | Each restricted stock unit represents a contractual right to receive one share of Class A common stock of Albertsons Companies, Inc. (the "Company") and to receive a tax bonus equal to 4% of the fair market value of the Class A common stock paid to the reporting person in respect of vested restricted stock units. For this vesting event, the reporting person elected to receive the tax bonus in the form of vested restricted stock units, and not in cash, as reported in Note 2 below. The awards vested in full on February 27, 2021. |
| (2) | Each restricted stock unit represents a contractual right to receive one share of Class A common stock of the Company. As a result of the reporting person electing to receive their tax bonus in vested restricted stock units, the awards were granted and vested in full on February 27, 2021. |
Remarks:
This amendment is being filed to report the vesting of restricted stock units on February 27, 2021 that were inadvertently omitted from the original report filed on March 2, 2021. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
DHANDA ANUJ
C/O ALBERTSONS COMPANIES, INC.
250 E PARKCENTER BLVD.
BOISE, ID 83706 |
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| EVP & CIO |
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Signatures
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| /s/ Juliette W. Pryor, Attorney-in-Fact for Anuj Dhanda | | 6/17/2021 |
| **Signature of Reporting Person | Date |
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