SEC Form 4/A · accession 0001209191-18-047436
i3 Verticals, Inc. · IIIV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Paul Maple
Officer — General Counsel and Secretary
Period of report
Jun 20, 2018
Accepted (ET)
Aug 17, 2018 · 5:05 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001728688
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F1,F2 | $13.00 | Jun 20, 2018 | A | 100,000 | A | — | Jun 20, 2028 | Class A common stock, par value $0.0001 per share | 100,000 | 100,000 | D |
Explanation of responses
- F1This Amendment is provided to revise the Transaction Date in Column 3 and the Expiration Date in Column 6.
- F2The option vests ratably in three equal annual installments beginning on the first anniversary of the grant date, subject to the Reporting Person's continued service with i3 Verticals, Inc.