SEC Form 4 · accession 0000791519-15-000082
STAPLES INC · SPLS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Shira Goodman
Officer — President, NAC
Period of report
Dec 15, 2015
Accepted (ET)
Dec 16, 2015 · 7:22 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 | Dec 15, 2015 | P | 5,100 | $9.6951 | A | 130,752 | I | Shira D Goodman Trust |
| Common Stock | holding | — | — | — | 2,199 | 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 | 529 | 529 | D |
| Phantom Stock Unit 401(k)F4,F3 | — | holding | — | — | — | — | — | Common Stock | 768 | 768 | D |
Explanation of responses
- F1The price reported represents the weighted average sales price of shares sold on December 15, 2015. Shares were sold at prices ranging from $9.68 to $9.70 per share. The reporting person hereby undertakes, upon the request of the Staff of the U.S. Securities and Exchange Commission, the issuer or a security holder of the issuer, to provide full information regarding the number of shares sold at each separate price.
- F2Phantom 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 December 15, 2015 account statement.
- F3See Table II, Column 2
- F4Phantom 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 December 15, 2015 account statement.