SEC Form 4 · accession 0001179110-16-029848

Liberty Tax, Inc. · TAXA

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

Reporting owner

Vanessa M Szajnoga

Officer — Vice President

Period of report

Sep 19, 2016

Accepted (ET)

Sep 20, 2016 · 4:49 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 19, 2016	M	167	—	A	405	D
Class A Common Stock^F6	Sep 19, 2016	F	54	$12.62	D	351	D
Class A Common Stock^F1	Sep 19, 2016	M	379	—	A	730	D
Class A Common Stock^F7	Sep 19, 2016	F	123	$12.62	D	607	D
Class A Common Stock^F8	holding	—	—		—	708	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
Restricted Stock Units^F1,F2	—	Sep 19, 2016	M	167	D	—	—	Class A Common Stock	167	167	D
Restricted Stock Units^F1,F3	—	Sep 19, 2016	M	379	D	—	—	Class A Common Stock	379	758	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 each year for three years one-third of the restricted stock units shall become vested provided that the Employee is in the employ of the Company at the time of vesting. One-third of the restricted stock units vested on September 19, 2016.
F3The restricted stock unit award was granted on September 18, 2015 and each year for three years one-third of the restricted stock units shall become vested provided that the Employee is in the employ of the Company at the time of vesting. 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 501 restricted stock units, of which one-third of the shares subject to the restricted stock units vested on September 19, 2016.
F5Represents the conversion upon vesting of restricted stock units into Class A Common Stock. On September 18, 2015, the reporting person was granted 1137 restricted stock units, of which one-third of the shares subject to the restricted stock units vested on September 18, 2016.
F6Reflects 54 shares withheld by Issuer at market price of $12.62 per share to fund the payment of taxes for the conversion.
F7Reflects 123 shares withheld by Issuer at market price of $12.62 per share to fund the payment of taxes for the conversion.
F8Reflects the shares of Class A Common Stock held through the Company 401(k) plan. The reporting person's holdings in the Company 401(k) plan have fluctuated and the reported holdings are based on the reporting person's 401(k) plan statement as of September 20, 2016.