SEC Form 4 · accession 0001354488-16-008201
HireQuest, Inc. · HQI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeff T Wilson
Officer — Chief Financial Officer
Period of report
Jun 24, 2016
Accepted (ET)
Aug 18, 2016 · 1:19 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001140102
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jun 24, 2016 | A | 25,000 | — | A | 105,000 | D | |
| Common Stock | holding | — | — | — | 80,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionsF2 | $0.41 | holding | — | — | — | — | — | Common Stock | 105,000 | 105,000 | D |
| Restricted Stock GrantF3 | — | holding | — | — | — | — | — | Common Stock | 75,000 | 180,000 | D |
| Performance Stock AwardF4 | — | holding | — | — | — | — | — | Common Stock | 100,000 | 280,000 | D |
| Stock OptionsF5 | $0.70 | holding | — | — | — | — | — | Common Stock | 500,000 | 780,000 | D |
| Stock OptionsF6 | $0.73 | holding | — | — | — | — | — | Common Stock | 60,000 | 840,000 | D |
Explanation of responses
- F1These shares were awarded by Company to this reporting person upon execution of the Executive Employment Agreement on 9/02/2014. The right to receive these shares vested on 9/02/2015.
- F2These are options awarded to directors for board service on 5/10/2012. Vesting 25% on each anniversary, being fully vested 5/10/2016. The options expire 5/10/2017.
- F3Restricted stock grant totaling 100,000 shares was awarded 9/02/2014. The first increment of 25000 shares has vested and has been converted to shares of stock. Other blocks of 25,000 shares would vest in annual increments on 9/02/16, 9/02/17 and 9/02/18, subject to the terms of the Executive Employment Agreement.
- F4Restricted stock award vests upon attainment of the performance criteria set forth in the Executive Employment Agreement dated 9/02/2014.
- F5Stock options issued pursuant to the Executive Employment Agreement dated 9/02/2014. Options vest in four annual increments of 125,000 shares each on the anniversary date, being fully vested on 9/02/2018.
- F6These options are awarded to directors for board service. Vesting 25% on the day of award, 12/11/2014, and 25% on each anniversary, being fully vested on 12/11/2017. The options expire 12/11/2021.