SEC Form 4 · accession 0001287151-17-000075
XERIUM TECHNOLOGIES INC · XRM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark Staton
Officer — President and CEO · Director
Period of report
Jun 5, 2017
Accepted (ET)
Jun 7, 2017 · 4:59 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001287151
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance Restricted Stock UnitF1 | — | Jun 5, 2017 | A | 600,000 | A | — | — | Common Stock | 600,000 | 600,000 | D |
Explanation of responses
- F1Represents the right to receive up to 600,000 shares of common stock on October 28, 2020 ("vesting date") subject to continuous employment through the vesting date and the satisfaction of performance criteria based on the achievement of certain volume-weighted, 20-day average stock price targets for the Company's common stock within certain time periods. For a more complete understanding of the various average stock prices and the time periods within which Mr. Staton can earn shares under this award, please refer to the Special Incentive Matrix on Exhibit A to his employment agreement, which is filed as Exhibit 10.1 to the Company's Form 8-K filed with the SEC on May 1, 2017.