UNITED STATES

SECURITIES AND EXCHANGECOMMISSION

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 File Number)

(IRS Employer Identification No.)

 

 

755 W. Big Beaver Road, Suite 1000, Troy, MI

48084

(Address of principal executive offices)

(Zip Code)

Robert M. Spence, Senior Vice President,
General Counsel & 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:

 

☒ Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2021.

 


 

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, 2021 to December 31, 2021 is provided as Exhibit 1.01 hereto and is publicly available at https://ir.skylinechampion.com.

 

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.

 

Item 2.01 Exhibits

1.01

Conflict Minerals Report for the reporting period January 1, 2021 to December 31, 2021.

 

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/ Robert Spence
Name: Robert Spence
Title: Senior Vice President, General Counsel and Secretary

Date: May 20, 2022


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