SEC Form 4 · accession 0001140361-17-024320
Ollie's Bargain Outlet Holdings, Inc. · OLLI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jay Stasz
Officer — SVP Finance, CAO
Period of report
Jun 5, 2017
Accepted (ET)
Jun 7, 2017 · 4:13 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001639300
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.001 per share | Jun 5, 2017 | M | 5,000 | $17.26 | A | 7,500 | D | |
| Common Stock, par value $0.001 per shareF2 | Jun 5, 2017 | F | 2,945 | $42.35 | D | 4,555 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee stock Option (right to buy)F3 | $17.26 | Jun 5, 2017 | M | 5,000 | D | — | Nov 18, 2025 | Common Stock | 5,000 | 42,500 | D |
Explanation of responses
- F1Exempt transaction pursuant to Section 16b-3(e) - payment of exercise price or tax liability by delivering or withholding securities incident to the receipt, exercise or vesting of a security issued in accordance with Rule 16b-3. All of the shares reported as disposed of in this Form 4 were relinquished by the reporting person and cancelled by the issuer in exchange for the issuer's agreement to pay federal and state tax withholding obligations of the reporting person resulting from the exercise of options.
- F2The price reported in column 4 is the fair market value at the time of the transaction on June 5, 2017.
- F3Options vest and become exercisable in equal 25% installments (12,500) on each anniversary date of the grant, November 18, 2015, subject to continued service through each applicable vesting date.