SEC Form 4 · accession 0001209191-18-034420
Everpure, Inc. · P
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Scott Dietzen
Director
Period of report
May 29, 2018
Accepted (ET)
May 31, 2018 · 5:23 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001474432
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF2 | May 29, 2018 | C | 222,332 | — | A | 385,503 | D | |
| Class A Common StockF3 | May 29, 2018 | S | 222,332 | $20.6777 | D | 163,171 | D | |
| Class A Common StockF2 | May 31, 2018 | C | 77,668 | — | A | 240,839 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F4 | $2.575 | May 29, 2018 | M | 222,332 | D | — | Jan 29, 2024 | Class B Common Stock | 222,332 | 77,668 | D |
| Class B Common StockF2 | — | May 29, 2018 | M | 222,332 | A | — | — | Class A Common Stock | 222,332 | 222,332 | D |
| Class B Common StockF2 | — | May 29, 2018 | C | 222,332 | D | — | — | Class A Common Stock | 222,332 | 0 | D |
| Stock Option (right to buy)F4 | $2.575 | May 31, 2018 | M | 77,668 | D | — | Jan 29, 2024 | Class B Common Stock | 77,668 | 0 | D |
| Class B Common StockF2 | — | May 31, 2018 | M | 77,668 | A | — | — | Class A Common Stock | 77,668 | 77,668 | D |
| Class B Common StockF2 | — | May 31, 2018 | C | 77,668 | D | — | — | Class A Common Stock | 77,668 | 0 | D |
Explanation of responses
- F1Each share of Class A Common Stock was issued upon conversion of one share of Class B Common Stock at the election of the Reporting Person.
- F2Each share of Class B Common Stock is convertible at any time at the option of the Reporting Person into one share of Class A Common Stock and has no expiration date. The Class B Common Stock will convert automatically into Class A Common Stock on the same basis upon the earlier of (i) any transfer, whether or not for value, except for certain "Permitted Transfers" as defined in the Issuer's restated certificate of incorporation in effect as of the date hereof, (ii) the affirmative vote of the holders of Class B Common Stock representing not less than a majority of the outstanding shares of Class B Common Stock, or (iii) October 6, 2025.
- F3The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $20.35 to $20.94 per share, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
- F4This option is fully vested.