SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Moriarty Thomas M

(Last) (First) (Middle)
C/O ALBERTSONS COMPANIES, INC.
250 E. PARKCENTER BLVD.

(Street)
BOISE ID 83706-3940

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Albertsons Companies, Inc. [ ACI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP General Counsel & CPO
3. Date of Earliest Transaction (Month/Day/Year)
07/03/2023
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Rule 10b5-1(c) Transaction Indication

  
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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
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 (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 Securities Underlying Derivative Security (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: 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
Time-Based Restricted Stock Units (1) 07/03/2023 A 79,872 (1) (1) Class A common stock par value $0.01 79,872 (1) 79,872 D
Performance-Based Restricted Stock Units (2) 07/03/2023 A 79,872 (2) (2) Class A common stock par value $0.01 79,872 (2) 79,872 D
Explanation of Responses:
1. Each restricted stock unit represents a contractual right to receive one share of Class A common stock of Albertsons Companies, Inc. ("the Company"). This award will vest in three equal installments on the last day of each of the next three (3) fiscal years of the Company as follows: (a) one-third on February 24, 2024; (b) one-third on February 22, 2025; and (c) one-third on February 28, 2026, as long as the reporting person remains continuously employed through such date.
2. Each restricted stock unit represents a contractual right to receive one share of Class A common stock of the Company. These restricted stock units are subject to the attainment of performance goals for the 2023, 2024 and 2025 fiscal years of the Company. The reported number of restricted stock units represents the "target" amount of the award and the actual number of units earned will depend upon satisfaction of the performance goals.
Remarks:
/s/ Bipasha Mukherjee, Attorney-in-Fact for Thomas M. Moriarty 07/06/2023
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.