Initial Statement of Beneficial Ownership (3)
14 Octubre 2021 - 3:16PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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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1. Name and Address of Reporting Person
*
Lee Christopher G |
2. Date of Event Requiring Statement (MM/DD/YYYY)
10/4/2021
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3. Issuer Name and Ticker or Trading Symbol
Apria, Inc. [APR]
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(Last)
(First)
(Middle)
C/O APRIA, INC., 7353 COMPANY DRIVE |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) Chief Accounting Officer / |
(Street)
INDIANAPOLIS, IN 46237
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 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) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Restricted Stock Units | (1) | (1) | Common Stock | 1854 | (2) | D | |
Stock Appreciation Rights | (3) | 5/12/2030 | Common Stock | 7667 | $5.33 | D | |
Stock Appreciation Rights | (4) | 3/9/2027 | Common Stock | 12664 | $8.28 | D | |
Stock Appreciation Rights | (4) | 10/8/2029 | Common Stock | 1916 | $8.28 | D | |
Stock Appreciation Rights | (4) | 12/12/2029 | Common Stock | 3068 | $8.28 | D | |
Stock Appreciation Rights | (4) | 3/9/2027 | Common Stock | 3046 | $4.67 | D | |
Stock Appreciation Rights | (5) | 10/8/2029 | Common Stock | 5749 | $5.33 | D | |
Stock Appreciation Rights | (6) | 12/12/2029 | Common Stock | 12266 | $5.33 | D | |
Stock Appreciation Rights | (7) | 3/9/2027 | Common Stock | 7032 | $2.07 | D | |
Explanation of Responses: |
(1) | These restricted stock units vest in three equal annual installments beginning on June 10, 2022, subject to the Reporting Person's continued employment on the applicable vesting date. |
(2) | Each restricted stock unit represents a contingent right to receive one share of common stock of the Issuer ("Common Stock"). The restricted stock units will be settled in either Common Stock or cash (or a combination thereof) at the discretion of the Issuer's compensation committee. |
(3) | Of these stock appreciation rights, 1,917 are fully vested and the remainder vest in equal quarterly installments ending on May 12, 2025. |
(4) | These stock appreciation rights are fully vested. |
(5) | Of these stock appreciation rights, 1,150 are fully vested and the remainder vest in equal quarterly installments ending on August 15, 2024. |
(6) | Of these stock appreciation rights, 2,300 are fully vested and the remainder vest in equal quarterly installments ending on December 9, 2024. |
(7) | Of these stock appreciation rights, 4,221 are fully vested and the remainder vest in equal quarterly installments ending on February 28, 2022. |
Remarks: Exhibit List: Exhibit 24 - Power of Attorney. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Lee Christopher G C/O APRIA, INC. 7353 COMPANY DRIVE INDIANAPOLIS, IN 46237 |
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| Chief Accounting Officer |
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Signatures
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/s/ Timothy Maloche, as Attorney-in-Fact | | 10/14/2021 |
**Signature of Reporting Person | Date |
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