Specialized Disclosure Report (sd)
May 28 2019 - 4:23PM
Edgar (US Regulatory)
UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM
SD
Specialized
Disclosure
Report
Skyline
Champion
Corporation
(Exact name of registrant as specified in its charter)
|
|
|
|
|
Indiana
|
001-04714
|
35-1038277
|
|
(State or other jurisdiction
of incorporation or
organization)
|
(Commission FileNumber)
|
(IRS Employer Identification
No.)
|
2520
By-Pass
Road,
Elkhart,
Indiana
46515
(Address of principal executive offices)
(Zip Code)
Roger
K.
Scholten,
Senior
Vice
President,
General Counsel & Corporate Secretary
(248)
614-8200
__________________________________________________________________________________________
(Name and telephone
number,
including area code, of the person to contact in connection with
this report.)
Check
the
appropriate
box
to
indicate the
rule
pursuant
to
which
this form
is
being
filed, and provide the period to which the information in this form applies:
[ X ] Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2018.
Section 1 – Conflict Minerals Disclosure
Items 1.01 and 1.02 Conflict Minerals Disclosure and Report, Exhibit
Conflict Minerals Disclosure
A copy of Skyline Champion Corporation’s Conflict Minerals Report for the reporting period January 1, 2018 to December 31, 2018 is provided as Exhibit 1.01 hereto and is publicly available at
https://ir.skylinechampion.com/financials-and-filings/sec-filings/default.aspx.
The information contained on the Company’s website is not incorporated by reference into this Form SD or the Conflict Minerals Report and should not be considered part of this Form SD or the Conflict Minerals Report.
Section 2 – Exhibits
Item 2.01 Exhibits
Exhibit 1.01 – Conflict Minerals Report for the reporting period January 1, 2018 to December 31, 2018.
SIGNATURE
Pursuant to the requirements of the Securities Exchange
Act of 1934, the registrant has duly caused this report to be signed on its behalf by the duly authorized undersigned.
SKYLINE CHAMPION CORPORATION
By:
/s/ Roger K. Scholten
Name: Roger K. Scholten
Title: Senior Vice President, General Counsel and Secretary
Date: May 28, 2019
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