# EDGAR Filing Document

**Accession Number:** 0001740206
**File Stem:** 0001209191-23-020486
**Filing Date:** 2023-3
**Character Count:** 7522
**Document Hash:** 7b5ce69068e4753fd05a5d49b26dc90f
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001209191-23-020486.hdr.sgml**: 20230322

**ACCESSION NUMBER**: 0001209191-23-020486

**CONFORMED SUBMISSION TYPE**: 4

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20230320

**FILED AS OF DATE**: 20230322

**DATE AS OF CHANGE**: 20230322

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Burkhardt Timothy A.
- **CENTRAL INDEX KEY:** 0001740206

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-04714
- **FILM NUMBER:** 23752941

**MAIL ADDRESS:**
- **STREET 1:** C/O CHAMPION ENTERPRISES HOLDINGS LLC
- **STREET 2:** 755 W BIG BEAVER RD, #1000
- **CITY:** TROY
- **STATE:** MI
- **ZIP:** 48084
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Skyline Champion Corp
- **CENTRAL INDEX KEY:** 0000090896
- **STANDARD INDUSTRIAL CLASSIFICATION:** MOBILE HOMES [2451]
- **IRS NUMBER:** 351038277
- **STATE OF INCORPORATION:** IN
- **FISCAL YEAR END:** 0401

**BUSINESS ADDRESS:**
- **STREET 1:** 755 W BIG BEAVER ROAD
- **STREET 2:** SUITE 1000
- **CITY:** TROY
- **STATE:** MI
- **ZIP:** 48084
- **BUSINESS PHONE:** 248 614 8211

**MAIL ADDRESS:**
- **STREET 1:** 755 W BIG BEAVER ROAD
- **STREET 2:** SUITE 1000
- **CITY:** TROY
- **STATE:** MI
- **ZIP:** 48084

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** SKYLINE CORP
- **DATE OF NAME CHANGE:** 19920703

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 4

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Burkhardt Timothy A.<br><sub>(Last) (First) (Middle)</sub><br>C/O SKYLINE CHAMPION CORPORATION<br>755 W. BIG BEAVER RD., SUITE 1000<br><sub>(Street)</sub><br>TROY, MI 48084<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-20 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [ ] 10% Owner<br>[X] Officer (give title below) [ ] Other (specify below)<br>_VP & Controller_ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>Skyline Champion Corp [ SKY ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[X] Form filed by One Reporting Person<br>[ ] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| Common Stock | 2023-03-20 |  | A<sup>(1)</sup> |  | 6451<sup>(2)</sup> | A | $0.00 | 32517 | D |  |
| Common Stock | 2023-03-20 |  | A<sup>(1)</sup> |  | 6451<sup>(3)</sup> | A | $0.00 | 38968 | D |  |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

---

### Footnotes:

(1) The Compensation Committee resolved to move the issuance of grants under the 2018 Equity Incentive Plan from the first trading day in January, when the Company had historically issued grants, to the second half of March for 2023 and for future grants. This is in alignment with the completion of the fiscal year of the Company. As a result of the move, the Committee made a one-time adjustment in the target amount of the grants to be issued in 2023, issuing 125% of the target annual grant.

(2) Represents restricted stock units ("RSUs") granted to the Reporting Person under the Issuer's 2018 Equity Incentive Plan. Each RSU represents the contingent right to receive one share of Common Stock. Subject to the terms of the award agreement evidencing the grant of the RSUs, one-third of the RSUs vests on each of the first three anniversaries of March 20, 2023, provided that the Reporting Person remains in continuous service with the Issuer through eachvesting date.

(3) Represents performance-based restricted stock units ("PRSUs") granted to the Reporting Person under the Issuer's 2018 Equity Incentive Plan. Each PRSU represents the contingent right to receive one share of Common Stock. Subject to the terms of the award agreement evidencing the grant of the PRSUs, vesting of a percentage of the PRSUs (including up to 200%) is 60% dependent on the total shareholder return of Issuer from March 20, 2023 through March 20, 2026  relative to the total shareholder return of certain other companies over that same time period, and 40% dependent on the market share of single family completions of Issuer as of January 31, 2026, provided that the Reporting Person remains in continuous service with the Issuer through each vesting date.

**Signature:** /s/ Caren A. Ries, Attorney-in-Fact  
**Date:** 2023-03-22

### Remarks:

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.**