SEC Form 4 · accession 0001179110-16-032875
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
John T Hewitt
Officer — Chief Executive Officer/Pres. · Director · 10% Owner
Period of report
Dec 9, 2016
Accepted (ET)
Dec 13, 2016 · 4:36 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001528930
Table I — non-derivative securities
No Table I lines on this filing.
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 | — | Dec 9, 2016 | A | 22,817 | A | — | — | Class A Common Stock | 22,817 | 22,817 | D |
| Employee Stock Options (Right to Buy)F3,F4 | $12.60 | Dec 9, 2016 | A | 336,914 | A | — | — | Class A Common Stock | 336,914 | 336,914 | D |
Explanation of responses
- F1Each Restricted Stock Unit represents the right to receive, at settlement, one share of Class A Common Stock.
- F2Issuer has awarded the Reporting Person a one-time retention grant of Restricted Stock Units. One-half of the Restricted Stock Units shall vest on December 9, 2018 and the remaining one-half shall vest on December 9, 2020.
- F3Each year for four years beginning December 9, 2017, one-fourth of the Employee Stock Options shall become vested.
- F4Once exercisable, Employee Stock Options that become vested anytime from the date of vesting through five years from the date of vesting shall remain exercisable.