SEC Form 5 · accession 0000028823-15-000022
DIEBOLD NIXDORF, Inc · DBD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Christopher Macey
Officer — VP, Corporate Controller
Period of report
Dec 31, 2014
Accepted (ET)
Feb 12, 2015 · 12:11 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000028823
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Feb 10, 2014 | F | 115 | $33.85 | D | 5,922 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-Qualified Stock OptionF3 | $38.32 | holding | — | — | — | Apr 20, 2013 | Apr 19, 2022 | Common Stock | 6,000 | 6,000 | D |
| Non-Qualified Stock OptionF3 | $34.13 | holding | — | — | — | Feb 12, 2015 | Feb 12, 2024 | Common Stock | 9,077 | 9,077 | D |
| Non-Qualified Stock OptionF3 | $29.87 | holding | — | — | — | Feb 6, 2014 | Feb 5, 2023 | Common Stock | 4,101 | 4,101 | D |
| Non-Qualified Stock OptionF3 | $34.89 | holding | — | — | — | Feb 8, 2013 | Feb 7, 2022 | Common Stock | 1,500 | 1,500 | D |
Explanation of responses
- F1Shares withheld pursuant to exercise of tax withholding right under the 1991 Equity and Performance Incentive Plan - Restricted Share Award
- F2Number includes restricted stock units.
- F3Granted under the 1991 Equity and Performance Incentive Plan; option is generally exercisable in annual increments of 1/3, 1/3, 1/3 beginning one year from the date of grant