SEC Form 4 · accession 0001144204-17-002522
Fifth Street Asset Management Inc. · FSAM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Patrick J Dalton
Officer — Co-President
Period of report
Jan 3, 2017
Accepted (ET)
Jan 17, 2017 · 7:22 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001611988
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option (right to buy)F1 | $6.95 | Jan 3, 2017 | A | 750,000 | A | — | Jan 2, 2022 | Class A Common Stock | 750,000 | 750,000 | D |
| Option (right to buy) | $6.95 | Jan 3, 2017 | A | 250,000 | A | Jan 2, 2021 | Jan 2, 2023 | Class A Common Stock | 250,000 | 250,000 | D |
| Restricted Stock UnitsF2,F3 | — | Jan 3, 2017 | A | 287,770 | A | — | — | Class A Common Stock | 287,770 | 287,770 | D |
Explanation of responses
- F1One-third of the shares subject to this option will vest on each of the first three anniversaries of the date of grant, which was January 3, 2017, subject to continued employment.
- F2Each restricted stock unit represents the contingent right to receive one share of Class A common stock of the Issuer. No later than 60 days following each vesting date, one share of Class A common stock of the Issuer shall be issued for each restricted stock unit that becomes vested on such vesting date.
- F3One-fourth of the total number of restricted stock units will vest on each of the first four anniversaries of the date of grant, which was January 3, 2017, subject to continued employment.