Sec Form 4 Filing - Parks Jason Scott @ J. Alexander's Holdings, Inc. - 2021-09-30

Insider filing report for Changes in Beneficial Ownership
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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
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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1. Name and Address of Reporting Person
Parks Jason Scott
2. Issuer Name and Ticker or Trading Symbol
J. Alexander's Holdings, Inc. [ JAX]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
VP & CIO
(Last) (First) (Middle)
3401 WEST END AVE, SUITE 260
3. Date of Earliest Transaction (MM/DD/YY)
09/30/2021
(Street)
NASHVILLE, TN37203
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 09/30/2021 D( 1 )( 2 ) 32,841 ( 2 ) D $ 14 ( 1 ) ( 2 ) 0 D
Common Stock 09/30/2021 C( 3 ) 1,746 A 1,746 D
Common Stock 09/30/2021 D( 3 ) 1,746 D $ 14 ( 3 ) 0 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) $ 10.39 ( 4 ) 09/30/2021 D( 4 ) 8,000 ( 4 ) 10/13/2022( 4 ) Common Stock 8,000 ( 4 ) 0 D
Stock Option (Right to Buy) $ 8.9 ( 4 ) 09/30/2021 D( 4 ) 15,000 ( 4 ) 11/08/2023( 4 ) Common Stock 15,000 ( 4 ) 0 D
Stock Option (Right to Buy) $ 9.55 ( 4 ) 09/30/2021 D( 4 ) 25,000 ( 4 ) 02/21/2025( 4 ) Common Stock 25,000 ( 4 ) 0 D
Stock Option (Right to Buy) $ 5 ( 4 ) 09/30/2021 D( 4 ) 38,500 ( 4 ) 08/07/2027( 4 ) Common Stock 38,500 ( 4 ) 0 D
Class B Unit ( 3 ) 09/30/2021 C( 3 ) 12,500 ( 3 ) ( 3 )( 5 ) Common Stock 1,746 ( 3 ) 0 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Parks Jason Scott
3401 WEST END AVE
SUITE 260
NASHVILLE, TN37203
VP & CIO
Signatures
/s/ Matthew I. O'Brien, Attorney-in-Fact 10/01/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Pursuant to the Agreement and Plan of Merger, dated as of July 2, 2021 (the "Merger Agreement"), by and among SPB Hospitality, LLC ("Parent"), Titan Merger Sub, Inc., an indirect, wholly-owned subsidiary of Parent ("Merger Sub"), and J. Alexander's Holdings, Inc. (the "Company"), each share of common stock, par value $0.001 per share, of the Company ("Company Common Stock") was converted into the right to receive a cash payment (without interest and subject to any applicable taxes) equal to the per share merger consideration of $14.00.
( 2 )Includes 14,500 restricted shares. In accordance with the terms of the Merger Agreement, each restricted share that was outstanding as of immediately prior to the effective time of the merger automatically became fully vested and was converted into the right to receive a cash payment (without interest and subject to any applicable taxes) equal to $14.00.
( 3 )In accordance with the terms of the Merger Agreement, each Class B Unit of JAX LLC that was outstanding as of immediately prior to the effective time of the merger automatically became fully vested and was exchanged for Company Common Stock in accordance with the terms of the Second Amended and Restated Limited Liability Company Agreement of JAX LLC, dated as of September 28, 2015 (the "Exchange"), and each share of Company Common Stock received in the Exchange was converted into the right to receive a cash payment (without interest and subject to any applicable taxes) equal to $14.00.
( 4 )In accordance with the terms of the Merger Agreement, each option to purchase Company Common Stock that was outstanding as of immediately prior to the effective time of the merger became fully vested and was converted into the right to receive a cash payment (without interest and subject to any applicable taxes) equal to the product of (i) the excess, if any, of the per share merger consideration of $14.00 over the exercise price per share of such option as of immediately prior to the effective time, and (ii) the number of shares of Company Common Stock subject to such option as of immediately prior to the effective time.
( 5 )The Class B Units of JAX LLC did not have an expiration date.

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