SEC Form 4 · accession 0001127602-17-022797
XEROX CORP · XRX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey Jacobson
Officer — Chief Executive Officer · Director
Period of report
Jun 30, 2017
Accepted (ET)
Jul 5, 2017 · 2:28 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000108772
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Jun 30, 2017 | M | 6,830 | $28.73 | A | 28,532 | D | |
| Common StockF3 | Jun 30, 2017 | F | 3,343 | $28.73 | D | 25,189 | D | |
| Restricted Stock UnitsF4,F2 | Jun 30, 2017 | A | 56,562 | $28.73 | A | 139,177 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance SharesF1,F2,F5 | $0.00 | Jun 30, 2017 | M | 6,830 | D | Aug 8, 1988 | Aug 8, 1988 | Common Stock | 6,830 | 81,167 | D |
Explanation of responses
- F1Performance Shares vested and converted to shares of Common Stock.
- F2On June 14, 2017, Xerox Corporation effected a 1-for-4 reverse stock split of its Common Stock. The amount of securities reported in this Form 4 has been adjusted to reflect the reverse stock split.
- F3Shares withheld to pay for taxes on Performance Shares that have vested.
- F4Incentive stock rights under 16b-3 plan payable in shares treated as restricted stock.
- F5Not Applicable.