Statement of Changes in Beneficial Ownership (4)
February 02 2021 - 6:19PM
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
*
Peetz Mehgan |
2. Issuer Name and Ticker or Trading Symbol
Shoals Technologies Group, Inc.
[
SHLS
]
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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) General Counsel |
(Last)
(First)
(Middle)
1400 SHOALS WAY |
3. Date of Earliest Transaction
(MM/DD/YYYY)
1/29/2021 |
(Street)
PORTLAND, TN 37148
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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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 $0.00001 per share | 1/29/2021 | | A | | 60000 (1) | A | $0.00 | 60000 | D | |
Class A Common Stock, par value $0.00001 per share | 1/29/2021 | | F | | 4059 (2) | D | $33.93 | 55941 | 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) | Represents 60,000 restricted stock units ("RSUs") granted to the Reporting Person in connection with the initial public offering of Shoals Technologies Group, Inc. (the "Issuer"). Of 60,000, 16,000 vested immediately upon grant. On each anniversary of the grant date, 25% of the remaining RSUs will vest subject to the Reporting Person's continued employment through each applicable vesting date. RSUs will be settled by delivery of an equal number of shares of the Issuer's Class A Common Stock, par value $0.00001 per share. |
(2) | Represents 4,059 RSUs that have been withheld by the Issuer to satisfy its income tax withholding and remittance obligations in connection with vesting of 16,000 RSUs and does not represent a sale by the Reporting Person. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Peetz Mehgan 1400 SHOALS WAY PORTLAND, TN 37148 |
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| General Counsel |
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Signatures
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/s/ Mehgan Peetz | | 2/2/2021 |
**Signature of Reporting Person | Date |
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