SEC Form 4 · accession 0001209191-17-016726
City Office REIT, Inc. · CIO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Samuel Belzberg
Director
Period of report
Mar 1, 2017
Accepted (ET)
Mar 2, 2017 · 4:53 pm EST
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,F2 | Mar 1, 2017 | M | 85,222 | — | A | 292,713 | D | |
| Common StockF3 | holding | — | — | — | 884,074 | I | Thru Gibralt US, Inc. |
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,F4,F5 | — | Mar 1, 2017 | M | 85,222 | D | — | — | Common Stock | 85,222 | 0 | D |
Explanation of responses
- F1The restricted stock units reported herein were authorized by the Compensation Committee of the Company's Board of Directors for vesting and settlement in common stock upon Mr. Belzberg's resignation from the Company's Board of Directors effective March 1, 2017.
- F2In 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.
- F3The 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.
- F4The restricted stock units reported herein have vested and converted to common shares as at March 1, 2017.
- F5Vested shares will be delivered to the reporting person promptly upon vesting of the related restricted stock units.