SEC Form 4 · accession 0001209191-16-115195
City Office REIT, Inc. · CIO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Samuel Belzberg
Director · 10% Owner
Period of report
Apr 19, 2016
Accepted (ET)
Apr 21, 2016 · 5:06 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001593222
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Apr 21, 2016 | M | 78,760 | — | A | 207,491 | D | |
| Common StockF2 | holding | — | — | — | 11,520 | I | Through Gibralt US, Inc. | |
| Common StockF2 | holding | — | — | — | 170,960 | I | Through Gibralt Capital Corporation |
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,F3,F4 | — | Apr 19, 2016 | A | 3,282 | A | — | — | Common Stock | 3,282 | 159,539 | D |
| Restricted Stock UnitsF1,F5 | — | Apr 21, 2016 | M | 78,760 | D | — | — | Common Stock | 78,760 | 80,779 | D |
Explanation of responses
- F1In accordance with the Company's Equity Incentive Plan (the "Equity Incentive Plan"), Restricted Stock Units (as defined in the Equity Incentive Plan) convert into common stock on a one-for-one basis.
- F2The Reporting Person disclaims beneficial ownership of these securities as this report shall not be deemed an admission that the Reporting Person is the beneficial owner of these securities for the purposes of Section 16 or any other purpose.
- F3The units represent Restricted Stock Units issuable to the Reporting Person as a dividend equivalency payment with respect to Restricted Stock Units previously issued to the Reporting Person which vest in three substantially equal installments on each of the first three annual anniversaries of the initial Grant Date, generally subject to the Participant's continued service through each applicable vesting date. The Restricted Stock Units reported herein shall vest on the same date and under the same terms as the underlying Restricted Stock Units with respect of which these dividend equivalency units vest.
- F4Vested shares will be delivered to the reporting person promptly upon vesting of the related restricted stock units.
- F5The restricted stock units reported herein have vested and converted to common shares as at April 21, 2016.