UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
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) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Options (Right to Buy) (1) | 03/01/2017(2) | 02/28/2026 | Common Stock | 150,000 | $ 2.75 | D | |
Restricted Stock Units (1) | (3) | (4) | Common Stock | 7,332 | $ 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Hoffmann Roger 16941 KEEGAN AVENUE CARSON, CA 90746 |
Chief Technology Officer |
/s/ David Eisler, as Attorney-in-Fact for Roger Hoffmann | 05/31/2017 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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) | Granted pursuant to the U.S. Auto Parts Network, Inc. 2007 Omnibus Incentive Plan. |
(2) | In accordance with the U.S. Auto Parts Network, Inc. 2007 Omnibus Incentive Plan, twenty-five percent of the shares vested on March 1, 2017, with the remaining seventy-five percent vesting in thirty-six equal monthly installments over the next three years, subject to the officer's continued service through such vesting dates. |
(3) | The restricted stock units shall become 100% vested on March 1, 2018, subject to the officer's continued service through such vesting date. |
(4) | Not applicable. |