SEC Form 4 · accession 0000914760-17-000003
ZAIS Group Holdings, Inc. · ZAIS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael Szymanski
Officer — CEO & President · Director
Period of report
Dec 30, 2016
Accepted (ET)
Jan 4, 2017 · 4:53 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001562214
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common Stock, par value $.0001F1,F2 | Dec 30, 2016 | A | 163,265 | — | A | 163,265 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class B-0 Units of ZAIS Group Parent, LLCF2,F3 | — | Dec 30, 2016 | D | 163,265 | D | Mar 17, 2017 | Dec 31, 2016 | Class A Common Stock | 163,265 | 0 | D |
Explanation of responses
- F1Pursuant to Restricted Stock Units that are scheduled to vest on March 17, 2017 granted under the ZAIS Group Holdings, Inc. 2015 Stock Incentive Plan.
- F2The reporting person elected to cancel 163,265 unvested Class B-0 Units of ZAIS Group Parent, LLC and receive in substitution therefor 163,265 Restricted Stock Units granted under the ZAIS Group Holdings, Inc. 2015 Stock Incentive Plan.
- F3Under certain circumstances, each Class B-0 Unit is exchangeable for one share of Class A Common Stock or cash, at the option of ZAIS Group Holdings, Inc.