PK ! \Ȩ#
xl/worksheets/sheet1.xml
0
1234567890.5
4
567890.5
67
8
90.5
10
4
567890.5
67
8
90.5
67
8
90.5
PK ! @@!p{ { xl/worksheets/sheet2.xml
1112131415161718192021222324252627282930
12
131415
16
17
181920
212223
262728
2930
31
3233263435
2634
35
12
131415
16
17
181920
212223
262728
2930
2634
35
PK ! :) ) xl/worksheets/sheet3.xml
36
3738394041424344
4546474849
PK ! '% xl/worksheets/sheet4.xml
50
515253545556575859606162
4546636465666768
69-170714946-2-272494601177373
PK ! xl/worksheets/sheet5.xml
74
75
76
77
PK ! MN N xl/worksheets/sheet6.xml
7879
8081
82
83
84
85
86
PK ! WOR R xl/workbook.xml
PK ! 9
xl/sharedStrings.xml
Mitchell WilliamFORM 4UNITED 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 1940OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response:
0.5OMB APPROVALOMB Number:
3235-0287
Estimated average burden
hours per response:
0.5OMB Number:3235-0287Estimated average burdenhours per response: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*MITCHELL WILLIAM
(Last)
(First)
(Middle)
1000 ABERNATHY ROAD NE
BUILDING 400, SUITE 1700
(Street)
ATLANTA
GA
30328-3091
(City)
(State)
(Zip)MITCHELL WILLIAM(Last)(First)(Middle)1000 ABERNATHY ROAD NEBUILDING 400, SUITE 1700ATLANTAGA30328-3091(City)(State)(Zip)2. Issuer Name and Ticker or Trading Symbol
Veritiv Corp
[ VRTV ]5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X
Director
10% Owner
Officer (give title below)
Other (specify below)XDirector10% OwnerOfficer (give title below)Other (specify below)3. Date of Earliest Transaction
(Month/Day/Year)
04/24/20194. 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 PersonForm filed by One Reporting PersonForm filed by More than One Reporting PersonTable I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned1. 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)CodeVAmount(A) or (D)PriceTable 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 Security3. 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)(A)(D)Date ExercisableExpiration DateTitleAmount or Number of SharesPhantom Stock04/24/2019ACommon StockDExplanation of Responses:1. Each share of phantom stock is the economic equivalent of one share of Veritiv Corporation common stock.2. Shares of phantom stock are fully vested and non-forfeitable on the grant date and shall be paid to the reporting person in shares of Veritiv Corporation common stock on the elected distribution date under the Veritiv Corporation Deferred Compensation Savings Plan.Remarks:/s/ Mark W. Hianik, Attorney-in-Fact for William E. Mitchell04/26/2019** Signature of Reporting PersonDateReminder: 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.PK ! f docProps/app.xml
Microsoft Excel0falseWorksheets6mitchell williammitchell william-1mitchell william-2mitchell william-3mitchell william-4mitchell william-5falsefalsefalse12.0000PK !
P P docProps/core.xml
2020-01-09T18:36:47Z2020-01-09T18:36:47ZPK ! t7 7 [Content_Types].xml
PK ! (
xl/styles.xml
PK ! FTR R xl/theme/theme1.xml
PK ! IK K _rels/.rels
PK ! xz z xl/_rels/workbook.xml.rels
PK ! \Ȩ#
xl/worksheets/sheet1.xmlPK ! @@!p{ { 8
xl/worksheets/sheet2.xmlPK ! :) ) xl/worksheets/sheet3.xmlPK ! '% H&