SEC Form 4 · accession 0001209191-16-099501
Telaria, Inc. · TLRA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Adam Lichstein
Officer — Sr.VP, COO, GC & Secretary
Period of report
Feb 13, 2016
Accepted (ET)
Feb 17, 2016 · 6:50 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001375796
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Feb 13, 2016 | M | 11,500 | — | A | 26,151 | D | |
| Common StockF3 | Feb 14, 2016 | M | 13,468 | — | A | 39,619 | D | |
| Common StockF4 | Feb 17, 2016 | F | 10,291 | $1.79 | D | 29,328 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF1 | — | Feb 13, 2016 | M | 5,750 | D | — | — | Common Stock | 5,750 | 17,250 | D |
| Restricted Stock UnitF2 | — | Feb 13, 2016 | M | 5,750 | D | — | — | Common Stock | 5,750 | 17,250 | D |
| Restricted Stock UnitF3 | — | Feb 14, 2016 | M | 13,468 | D | — | — | Common Stock | 13,468 | 26,936 | D |
Explanation of responses
- F1On February 23, 2015, the reporting person was granted 23,000 restricted stock units, with each unit representing the right to receive one share of the issuer's common stock. 25% of the total shares underlying the restricted stock unit vested on February 13, 2016 and were issued on February 17, 2016. The remaining restricted stock units will vest 25% on each of February 13, 2017, February 13, 2018 and February 13, 2019, subject to continued service to the issuer through each vesting date.
- F2On May 29, 2015, the reporting person was granted 23,000 restricted stock units, with each unit representing the right to receive one share of the issuer's common stock. 25% of the total shares underlying the restricted stock unit vested on February 13, 2016 and were issued on February 17, 2016. The remaining restricted stock units will vest 25% on each of February 13, 2017, February 13, 2018 and February 13, 2019, subject to continued service to the issuer through each vesting date.
- F3On February 24, 2014, the reporting person was granted 53,872 restricted stock units, with each unit representing the right to receive one share of the issuer's common stock. An additional 25% of the total shares underlying the restricted stock unit vested on February 14, 2016 and were issued on February 17, 2016. The remaining restricted stock units will vest 25% on each of February 14, 2017 and February 14, 2018, subject to continued service to the issuer through each vesting date.
- F4Represents shares withheld to satisfy tax obligations upon the vesting of restricted stock units.