SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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* Mallard Lawrence B (Last) (First) (Middle) JELD-WEN HOLDING, INC. 440 S. CHURCH STREET, SUITE 400 (Street) CHARLOTTE NC 28202 (City) (State) (Zip)	2. Date of Event Requiring Statement (Month/Day/Year) 01/27/2017	3. Issuer Name and Ticker or Trading Symbol JELD-WEN Holding, Inc. [ JELD ]
		4. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner X Officer (give title below) Other (specify below) EVP & Chief Financial Officer	5. 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

Table I - Non-Derivative Securities Beneficially Owned
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)
Common Stock	12,496	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: 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
Common Stock Option (Right to Buy)	(1)	10/30/2024	Common Stock	14,080	$14.07	D
Class B-1 Stock Option (Right to Buy)(5)	(2)	10/30/2024	Common Stock	130,600(4)	$6.74(4)	D
Common Stock Option (Right to Buy)	(3)	10/30/2024	Common Stock	21,120	$9.97	D

Explanation of Responses:

1. This option is fully vested.

2. This option is vested with respect to 52,240 underlying shares and will vest with respect to the remaining 78,360 underlying shares in equal installments on October 30, 2017, October 30, 2018 and October 30, 2019.

3. This option will vest in equal installments on October 30, 2017, October 30, 2018 and October 30, 2019.

4. As of the date of the reporting event, and prior to the Class B-1 Conversion (as defined below), represents Class B-1 Stock Options exercisable for an aggregate of 74,800 shares of Class B-1 Common Stock, each with an exercise price of $11.77.

5. Immediately prior to the consummation of the initial public offering of the issuer's Common Stock, Class B-1 Stock Options will become exercisable for Common Stock (the "Class B-1 Conversion"). For purposes of this table, the number of options and the applicable exercise prices are presented on a post-Class B-1 Conversion basis. The footnote above indicates the number of Class B-1 Stock Options outstanding and the applicable exercise price with respect to shares of Class B-1 Common Stock as of the date of the reporting event.

	/s/ Laura W. Doerre, Attorney-in-Fact for Lawrence B. Mallard	01/27/2017
	** 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 5 (b)(v).
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