SEC Form 4 · accession 0001106066-17-000002
SALEM MEDIA GROUP, INC. /DE/ · SALM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Edward G Atsinger III
Officer — Chief Executive Officer · Director · 10% Owner
Period of report
Feb 24, 2017
Accepted (ET)
Feb 28, 2017 · 1:56 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001050606
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1 | Feb 24, 2017 | A | 42,554 | $0.00 | A | 42,554 | D | |
| Class A Common StockF2 | holding | — | — | — | 3,211,502 | I | By Atsinger Family Trust | |
| Class A Common StockF3 | holding | — | — | — | 1,090,078 | I | By Ted Atsinger Irrevocable Trust | |
| Class A Common StockF4 | holding | — | — | — | 25,000 | I | By Atsinger 1999 Charitable Remainder Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy) | $4.85 | Feb 24, 2017 | D | 50,000 | D | Mar 8, 2017 | Mar 8, 2025 | Class A Common Stock | 50,000 | 100,000 | D |
| Stock Option (right to buy) | $6.92 | Feb 24, 2017 | D | 50,000 | D | Mar 11, 2014 | Mar 11, 2021 | Class A Common Stock | 50,000 | 100,000 | D |
Explanation of responses
- F1Restricted stock grant.
- F2By Edward G. Atsinger III, as Trustee of the Atsinger Family Trust.
- F3By Edward G. Atsinger III, as Trustee of the Ted Atsinger Irrevocable Trust for all purposes other than voting matters.
- F4By Edward G. Atsinger III, as Trustee of the Atsinger 1999 Charitable Remainder Trust.
- F5This transaction involves the partial rescission of stock options previously granted under the Issuer's Amended and Restated 1999 Stock Incentive Plan.