SEC Form 4 · accession 0000791519-15-000011
STAPLES INC · SPLS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joseph Doody
Officer — Vice Chairman
Period of report
Mar 5, 2015
Accepted (ET)
Mar 6, 2015 · 5:33 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000791519
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Mar 5, 2015 | F | 3,708 | $16.50 | D | 344,440 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom Stock Unit SERPF2,F3 | — | holding | — | — | — | — | — | Common Stock | 3,125 | 3,125 | D |
| Phantom Stock Unit 401(k)F4,F3 | — | holding | — | — | — | — | — | Common Stock | 1,764 | 1,764 | D |
Explanation of responses
- F1ESPP - Adjusted to reflect additional shares acquired through reporting person's participation in Staples Employee Stock Purchase Plan.
- F2Phantom Stock Units are held in a SERP and are payable in cash following termination of employment. Number of underlying shares of common stock are based on March 5, 2015 account statement.
- F3See Table II, Column 2
- F4Phantom Stock Units are held in a 401k and are payable in cash following termination of employment. Number of underlying shares of common stock are based on March 5, 2015 account statement.