SEC Form 4 · accession 0001179110-16-017832
Liberty Tax, Inc. · TAXA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John T Hewitt
Officer — Chief Executive Officer/Pres. · Director · 10% Owner
Period of report
Jan 15, 2016
Accepted (ET)
Jan 19, 2016 · 4:52 pm EST
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 | Jan 15, 2016 | M | 6,060 | $16.50 | A | 997,259 | D | |
| Class A Common StockF1 | Jan 15, 2016 | F | 5,608 | $18.56 | D | 991,651 | D | |
| Class A Common Stock | holding | — | — | — | 141,553 | I | By 401(k) plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Options (Right to Buy) | $16.50 | Jan 15, 2016 | M | 6,060 | D | Apr 15, 2011 | Apr 15, 2016 | Class A Common Stock | 6,060 | 0 | D |
Explanation of responses
- F1Reflects 5,608 shares sold by a broker-dealer at an average market price of $18.56 per share less an exercise price of $16.50 per share to fund the exercise of 452 options owned by John T. Hewitt.