SEC Form 4 · accession 0001179110-17-012941
Liberty Tax, Inc. · TAXA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John T Hewitt
Director · 10% Owner
Period of report
Sep 29, 2017
Accepted (ET)
Oct 3, 2017 · 4:26 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 StockF2 | Sep 29, 2017 | M | 22,817 | — | A | 1,603,366 | D | |
| Class A Common StockF3 | Sep 29, 2017 | F | 7,553 | $14.55 | D | 1,595,813 | D | |
| Class A Common Stock | holding | — | — | — | 150,852 | I | 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 UnitsF2,F4 | — | Sep 29, 2017 | M | 22,817 | D | — | — | Class A Common Stock | 22,817 | 0 | D |
Explanation of responses
- F1Represents the conversion upon vesting of restricted stock units into Class A Common Stock. On December 9, 2016, the reporting person was granted 22,817 restricted stock units, of which all of the shares subject to the restricted stock units immediately vested on September 29, 2017 due to Reporting Person's severance package. Such restricted stock units were previously reported in Table II on the Form 4 filed with the Securities and Exchange Commission on December 13, 2016.
- F2Each restricted stock unit represents the right to receive, upon vesting, one share of Class A Common Stock.
- F3Reflects 7,553 shares withheld by Issuer at the market price of $14.55 per share to fund the payment of taxes for the conversion.
- F4The restricted stock unit award was granted on December 9, 2016 and vested in full on September 29, 2017 pursuant to Reporting Person's severance package.