SEC Form 4 · accession 0001140361-15-026286
USA TECHNOLOGIES INC · USAT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Stephen P Herbert
Officer — CEO · Director
Period of report
Jun 29, 2015
Accepted (ET)
Jul 1, 2015 · 5:00 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000896429
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jun 29, 2015 | G | 20,000 | $0.00 | D | 303,855 | D | |
| Common StockF2 | holding | — | — | — | 273,855 | D | ||
| Common StockF2 | holding | — | — | — | 62,010 | I | By Child | |
| Common Stock | holding | — | — | — | 27,440 | I | By Spouse |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Qualified Stock Option (Right to Buy) | $1.80 | holding | — | — | — | Sep 1, 2015 | Sep 1, 2021 | Common Stock | — | — | D |
| Non-Qualified Stock Option (Right to Buy)F3 | $1.80 | holding | — | — | — | — | Sep 1, 2021 | Common Stock | 150,000 | 150,000 | D |
Explanation of responses
- F1Reflects a gift of 20,000 shares by Mr. Herbert to his sister on 6/29/2015.
- F2Adjusted to reflect 30,000 shares gifted by Mr. Herbert to his son on 5/22/2015 that effected only a change in the form of Mr. Herbert's beneficial ownership without changing his pecuniary interest in such securities.
- F3The stock options vest as follows: 50,000 on 9/1/2015; 50,000 on 9/1/2016; and 50,000 on 9/1/2017.