SEC Form 5 · accession 0000857855-17-000010
UNITED COMMUNITY BANKS INC · UCB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Bradley J Miller
Officer — EVP, CRO AND GENERAL COUNSEL
Period of report
Dec 31, 2016
Accepted (ET)
Feb 13, 2017 · 4:50 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000857855
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| COMMON STOCK | holding | — | — | — | 6,239 | D | ||
| COMMON STOCK (RESTRICTED STOCK UNITS) | holding | — | — | — | 16,813 | D | ||
| COMMON STOCK ISSUABLE | holding | — | — | — | 12,307 | D | ||
| COMMON STOCK | holding | — | — | — | 939 | I | 401(k) Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OPTION TO PURCHASE COMMON STOCKF1 | $114.60 | Dec 30, 2016 | D | 416 | D | Oct 9, 2008 | Oct 9, 2017 | Common Stock | 416 | 1,008 | D |
| OPTION TO PURCHASE COMMON STOCKF2 | $66.40 | Dec 30, 2016 | D | 727 | D | May 5, 2009 | May 5, 2018 | Common Stock | 727 | 1,008 | D |
Explanation of responses
- F1The options were canceled by mutual agreement of the reporting person and United Community Banks, Inc. The reporting person received $208.00 as consideration for the cancellation.
- F2The options were canceled by mutual agreement of the reporting person and United Community Banks, Inc. The reporting person received $363.50 as consideration for the cancellation.