SEC Form 4 · accession 0001179110-16-029846
Liberty Tax, Inc. · TAXA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas S Daniels
Officer — Chief Accounting Officer
Period of report
Sep 19, 2016
Accepted (ET)
Sep 20, 2016 · 4:47 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 StockF1 | Sep 19, 2016 | M | 269 | — | A | 1,742 | D | |
| Class A Common StockF6 | Sep 19, 2016 | F | 87 | $12.62 | D | 1,655 | D | |
| Class A Common StockF1 | Sep 19, 2016 | M | 520 | — | A | 2,175 | D | |
| Class A Common StockF7 | Sep 19, 2016 | F | 168 | $12.62 | D | 2,007 | D | |
| Class A Common Stock | holding | — | — | — | 4,850 | I | By Individual Retirement Account |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1,F2 | — | Sep 19, 2016 | M | 269 | D | — | — | Class A Common Stock | 269 | 269 | D |
| Restricted Stock UnitsF1,F3 | — | Sep 19, 2016 | M | 520 | D | — | — | Class A Common Stock | 520 | 1,040 | D |
Explanation of responses
- F1Each restricted stock unit represents the right to receive, upon vesting, one share of Class A Common Stock.
- F2This restricted stock unit award was granted on September 19, 2014 and one-third of the restricted stock units vested on September 19, 2016.
- F3The restricted stock unit award was granted on September 18, 2015 and one-third of the restricted stock units vested on September 18, 2016.
- F4Represents the conversion upon vesting of restricted stock units into Class A Common Stock. On September 19, 2014, the reporting person was granted 809 restricted stock units, of which one-third of the shares subject to the restricted stock units vested on September 19, 2016. 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.
- F5Represents the conversion upon vesting of restricted stock units into Class A Common Stock. On September 18, 2015, the reporting person was granted 1560 restricted stock units, of which one-third of the shares subject to the restricted stock units vested on September 18, 2016. Those restricted stock units were previously reported in Table II on the Form 4 filed with the Securities and Exchange Commission on September 23, 2015.
- F6Reflects 87 shares withheld by Issuer at market price of $12.62 per share to fund the payment of taxes for the conversion.
- F7Reflects 168 shares withheld by Issuer at market price of $12.62 per share to fund the payment of taxes for the conversion.