SEC Form 4 · accession 0001209191-17-038151

Telaria, Inc. · TLRA

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

Reporting owner

Director

Period of report

Jun 2, 2017

Accepted (ET)

Jun 6, 2017 · 4:54 pm EDT

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 Stock^F1	Jun 2, 2017	M	42,372	—	A	201,415	D
Common Stock^F2	Jun 5, 2017	M	26,013	$0.44	A	227,428	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Restricted Stock Unit^F1	—	Jun 2, 2017	M	42,372	D	—	—	Common Stock	42,372	0	D
Restricted Stock Unit^F3,F4	—	Jun 2, 2017	A	32,467	A	—	—	Common Stock	32,467	32,467	D
Stock Option (Right to Buy)^F5	$0.44	Jun 5, 2017	M	26,013	D	—	Jul 16, 2017	Common Stock	26,013	0	D

F1The restricted stock unit granted to the reporting person on June 3, 2016 vested on June 2, 2017, the date of the Issuer's 2017 Annual Meeting of Stockholders, at which time it automatically converted into the same number of shares of common stock. While the shares of common stock are fully vested, they will not be issued until the expiration of the Issuer's current blackout period.
F2Represents the acquisition of shares upon exercise of the stock option reported in Table II.
F3Each restricted stock unit represents a contingent right to receive one share of the Issuer's Common Stock.
F4The restricted stock unit vests in full on the date of the Issuer's 2018 Annual Meeting of Stockholders, subject to such director's continued service on the Board of Directors as of such date and provided that if such meeting date occurs during a regular or special blackout period, the shares underlying the restricted stock unit awards will not be issued until the end of such blackout period.
F5Immediately exercisable.