SEC Form 4 · accession 0001538843-18-000006

EPAM Systems, Inc. · EPAM

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

Reporting owner

Officer — CEO, President, Chairman · Director

Period of report

Mar 23, 2018

Accepted (ET)

Mar 27, 2018 · 4:56 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 Stock^F1	Mar 23, 2018	F	713	$112.62	D	1,814,462	D
EPAM Common Stock^F2	Mar 23, 2018	A	10,791	$0.00	A	1,825,253	D
EPAM Common Stock^F1	Mar 24, 2018	F	1,105	$112.62	D	1,824,148	D
EPAM Common Stock^F1	Mar 25, 2018	F	1,052	$112.62	D	1,823,096	D
EPAM Common Stock^F3	holding	—	—		—	355,889	I	See footnote

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Employee Stock Option (right to buy)^F4	$112.62	Mar 23, 2018	A	28,830	A	—	Mar 23, 2018	EPAM Common Stock	28,830	28,830	D

F1These shares were withheld by the Issuer to satisfy the tax withholding requirement arising from the vesting of restricted stock units granted to the reporting person under the Issuer's Long Term Incentive Plan.
F2Represents restricted stock units that are scheduled to vest as to 25% of the shares on each of March 23, 2019, 2020, 2021 and 2022.
F3These 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.
F4The option will become exercisable as to 25% of the shares on each of March 23, 2019, 2020, 2021 and 2022.