SEC Form 4 · accession 0000791519-15-000012
STAPLES INC · SPLS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Shira Goodman
Officer — President, NAC
Period of report
Mar 5, 2015
Accepted (ET)
Mar 6, 2015 · 5:34 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 Stock | Mar 5, 2015 | F | 2,738 | $16.50 | D | 25,001 | D | |
| Common StockF2 | Mar 5, 2015 | J | 5,671 | $0.00 | D | 19,330 | D | |
| Common Stock | Mar 5, 2015 | J | 5,671 | $0.00 | A | 114,207 | I | Shira D Goodman Trust |
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 SERPF3,F4 | — | holding | — | — | — | — | — | Common Stock | 516 | 516 | D |
| Phantom Stock Unit 401(k)F5,F4 | — | holding | — | — | — | — | — | Common Stock | 743 | 743 | D |
Explanation of responses
- F1Transfer from a direct holding to an indirect holding.
- F2ESPP - Adjusted to reflect additional shares acquired through reporting person's participation in Staples Employee Stock Purchase Plan.
- F3Phantom Stock Units are held in a SERP and are payable in cash following the reporting person's termination of employment. Number of underlying shares of common stock are based on March 5, 2015 account statement.
- F4See Table II, Column 2
- F5Phantom Stock Units are held in a 401(k) and are payable in cash following the reporting person's termination of employment. Number of underlying shares of common stock are based on March 5, 2015 account statement.