SEC Form 4 · accession 0000899243-17-005298

MONEYGRAM INTERNATIONAL INC · MGI

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Table I — non-derivative securities

Table II — derivative securities

Explanation of responses

• F1Represents the number of shares of common stock issuable upon vesting of 76,651 time-based RSUs and the target number of shares of common stock eligible to be issued upon vesting of 38,326 performance-based RSUs. The time-based RSUs vest in 3 equal installments on each anniversary of the grant date. The performance-based RSUs vest in three equal installments on each anniversary of the grant date if certain performance goals are achieved, with up to 50% of the performance-based RSUs vesting over such three year period if a target level of constant currency Adjusted EBITDA is achieved for the year ended December 31, 2017 and up to 50% of the performance-based RSUs vesting over such three year period if a target level of constant currency revenue is achieved for the year ended December 31, 2017, subject to potential adjustments to take into account certain impacts of a proposed merger.
• F2Includes 707,319 shares that may be issued upon vesting of previously granted performance-based and time-based RSUs.
• F3Represents the number of shares withheld for the payment of tax liabilities in connection with the vesting of 63,912 time-based RSUs and 12,284 performance-based RSUs that were granted on February 23, 2016.
• F4The price was determined based on the closing price of $12.75 per share of MoneyGram International, Inc.'s common stock on February 23, 2017.
• F5Includes 744,567 shares that may be issued upon vesting of previously granted performance-based and time-based RSUs.