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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) |
7. Title and Amount of Underlying Securities (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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
STOCK OPTION (RIGHT TO BUY) | $ 21 | 01/29/2015 | A | 8,251 | (8) | 01/29/2025 | CLASS A COMMON STOCK | 8,251 | $ 0 | 8,251 | D | ||||
COMMON MEMBERSHIP INTERESTS | (9) | 02/04/2015 | J(10) | 1,869,064 | (9) | (9) | CLASS A COMMON STOCK | 1,869,064 | (9) | 1,869,064 | D | ||||
COMMON MEMBERSHIP INTERESTS | (9) | 02/04/2015 | J(10) | 590,921 | (9) | (9) | CLASS A COMMON STOCK | 590,921 | (9) | 590,921 | I | By Trust (11) | |||
COMMON MEMBERSHIP INTERESTS | (9) | 02/04/2015 | J(10) | 95,238 | (9) | (9) | CLASS A COMMON STOCK | 95,238 | (9) | 95,238 | I | By LLC (12) | |||
COMMON MEMBERSHIP INTERESTS | (9) | 02/04/2015 | J(10) | 1,727,804 | (9) | (9) | CLASS A COMMON STOCK | 1,727,804 | (9) | 1,727,804 | I | By Corp. (13) | |||
COMMON MEMBERSHIP INTERESTS | (9) | 02/04/2015 | J(10) | 3,069,881 | (9) | (9) | CLASS A COMMON STOCK | 3,069,881 | (9) | 3,069,881 | I | By Corp. (14) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Meyer Daniel Harris C/O SHAKE SHACK INC., 24 UNION SQUARE EAST, 5TH FLOOR NEW YORK, NY 10003 |
X | X |
/s/ Ronald Palmese, Jr., Esq., Attorney-in-Fact for Daniel Harris Meyers | 02/06/2015 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Represents shares of Class A common stock, par value $0.001 per share (the "Class A Common Stock"), held by the Daniel H. Meyer 2012 Gift Trust U/A/D 10/31/12 (the "Trust"), of which the Reporting Person's spouse is a trustee and beneficiary. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein. |
(2) | Represents shares of Class A Common Stock purchased under Shake Shack Inc.'s (the "Issuer") Directed Share Program using personal funds. |
(3) | Acquired pursuant to a subscription agreement entered into with the Issuer in connection with the closing of the Issuer's initial public offering on February 4, 2015 (the "IPO"). One share of the Issuer's Class B common stock, par value $0.001 per share (the "Class B Common Stock"), was issued for each common membership interest in SSE Holdings, LLC (each an "LLC Interest") received pursuant to a reclassification of SSE Holdings, LLC that occurred in connection with the closing of the IPO. Pursuant to the Amended and Restated Certificate of Incorporation of the Issuer filed in connection with the IPO, the shares of Class B Common Stock (i) confer no incidents of economic ownership on the holders thereof, (ii) only confer voting rights on the holders thereof and (iii) may only be issued, on a one-for-one basis, to the permitted holders of LLC Interests. |
(4) | Represents shares of Class B Common Stock held by the Trust, of which the Reporting Person's spouse is a trustee and beneficiary. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein. |
(5) | Represents shares of Class B Common Stock held by Union Square Hospitality Group, LLC ("USHG"). The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein. |
(6) | Represents shares of Class B Common Stock held by Union Square Cafe Corp ("Union Cafe"). The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein. |
(7) | Represents shares of Class B Common Stock held by Gramercy Tavern Corp. ("Gramercy"). The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein. |
(8) | The option vests in full on the first anniversary of the grant date, subject to the Reporting Person's continued service with the Issuer. |
(9) | Represents LLC Interests which are redeemable for an equal number of shares of the Issuer's Class A Common Stock or, at the election of the Issuer, cash equal to the volume-weighted average market price of such shares. The LLC Interests have no expiration date. |
(10) | Issued pursuant to a reclassification of SSE Holdings, LLC that occurred in connection with the closing of the IPO, which reclassification is exempt under Rule 16b-7 of the Securities Exchange Act of 1934, as amended. The units in SSE Holdings, LLC held by the Reporting Person prior to the reclassification were cancelled as part of the reclassification. The reclassification is further described in the Third Amended and Restated Limited Liability Company Agreement of SSE Holdings, LLC, which was filed with the Securities and Exchange Commission on January 20, 2015 as Exhibit 10.3 to Amendment No. 1 of the Issuer's Registration Statement on Form S-1. |
(11) | Represents LLC Interests held by the Trust. The Reporting Person disclaims beneficial ownership of such interests except to the extent of his pecuniary interest therein. |
(12) | Represents LLC Interests held by USHG. The Reporting Person disclaims beneficial ownership of such interests except to the extent of his pecuniary interest therein. |
(13) | Represents LLC Interests held by Union Cafe. The Reporting Person disclaims beneficial ownership of such interests except to the extent of his pecuniary interest therein. |
(14) | Represents LLC Interests held by Gramercy. The Reporting Person disclaims beneficial ownership of such interests except to the extent of his pecuniary interest therein. |