Initial Statement of Beneficial Ownership (3)
April 17 2020 - 04:51PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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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Kulikowsky Denise |
2. Date of Event Requiring Statement (MM/DD/YYYY)
4/3/2020
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3. Issuer Name and Ticker or Trading Symbol
Party City Holdco Inc. [PRTY]
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(Last)
(First)
(Middle)
C/O PARTY CITY HOLDCO INC., 80 GRASSLANDS ROAD |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) Chief Human Resources Officer / |
(Street)
ELMSFORD, NY 10523
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 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 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, par value $0.01 per share ("Common Stock") | 4810 (1) | D | |
Common Stock | 973 | D | |
Common Stock | 10000 (2) | I | By Spouse |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: 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 |
Stock option (right to buy) | (3) | 11/13/2028 | Common Stock | 20000 | $11.47 | D | |
Explanation of Responses: |
(1) | The shares reported are restricted shares of Common Stock granted to the reporting person on January 1, 2019, under the Company's equity plan, with an expiration date of December 31, 2028. The shares shall vest on January 1, 2022. |
(2) | The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 of the Securities Exchange Act of 1934 or for any other purpose. |
(3) | The shares reported are options to purchase shares of Common Stock granted to the reporting person on November 14, 2018 as part of the Company's equity plan. The options shall vest in four equal installments commencing on November 14, 2020. |
Remarks: Exhibit 24 - Power of Attorney |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Kulikowsky Denise C/O PARTY CITY HOLDCO INC. 80 GRASSLANDS ROAD ELMSFORD, NY 10523 |
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| Chief Human Resources Officer |
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Signatures
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/s/ Ian Heller, attorney-in-fact | | 4/17/2020 |
**Signature of Reporting Person | Date |
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