SEC Form 4 · accession 0001538843-16-000009
EPAM Systems, Inc. · EPAM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Arkadiy Dobkin
Officer — CEO, President, Chairman · Director
Period of report
Mar 25, 2016
Accepted (ET)
Mar 29, 2016 · 4:20 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001352010
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| EPAM Common StockF1 | Mar 25, 2016 | A | 14,766 | $0.00 | A | 2,169,485 | D | |
| EPAM Common StockF2 | holding | — | — | — | 513,400 | I | See footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy)F3 | $70.52 | Mar 25, 2016 | A | 41,026 | A | — | Mar 25, 2026 | EPAM Common Stock | 41,026 | 41,026 | D |
Explanation of responses
- F1Represents restricted stock units that are scheduled to vest as to 25% of the shares on each of March 25, 2017, 2018, 2019 and 2020.
- F2These shares are held by the Arkadiy Dobkin GST Exempt Grantor Trust for the benefit of the reporting person's children. The reporting person's spouse is trustee of the trust. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the filing of this report should not be deemed an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
- F3The option will become exercisable as to 25% of the shares on each of March 25, 2017, 2018, 2019 and 2020.