SEC Form 4 · accession 0001104659-15-066558

Liberty Tax, Inc. · TAXA

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

A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).

Reporting owner

Director · 10% Owner

Period of report

Sep 18, 2015

Accepted (ET)

Sep 22, 2015 · 6:43 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001528930

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Class A Common Stock^F1	Sep 21, 2015	M	649	—	A	2,000,639	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Employee Stock Options (Right to Buy)	$23.09	Sep 18, 2015	A	8,480	A	Sep 18, 2016	Sep 18, 2021	Class A Common Stock	8,480	8,480	D
Restricted Stock Units^F1,F2	—	Sep 18, 2015	A	938	A	—	—	Class A Common Stock	938	938	D
Restricted Stock Units^F1,F4	—	Sep 21, 2015	M	649	D	—	—	Class A Common Stock	649	0	D

F1Each restricted stock unit represents the right to receive, at settlement, one share of Class A Common Stock.
F2The restricted stock unit award was granted on September 18, 2015 and vests in full on September 18, 2016.
F3Represents the conversion upon vesting of restricted stock units into common stock. On September 19, 2014, the reporting person was granted 649 restricted stock units, all of which vested on September 19, 2015. Those restricted stock units were previously reported in Table II on the Form 4 filed with the Securities and Exchange Commission on September 23, 2014.
F4This restricted stock unit award was granted on September 19, 2014 and vested in full on September 19, 2015.