SEC Form 4 · accession 0001140361-16-071808
USA TECHNOLOGIES INC · USAT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joel Brooks
Director
Period of report
Jul 1, 2016
Accepted (ET)
Jul 6, 2016 · 4:41 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 | Jul 1, 2016 | A | 9,479 | $0.00 | A | 56,313 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-Qualified Stock Option (Right to Buy)F2 | $2.05 | holding | — | — | — | — | Jun 18, 2021 | Common Stock | 20,000 | 20,000 | D |
Explanation of responses
- F1The shares vest as follows: 3,160 on 7/1/17; 3,160 on 7/1/18; and 3,159 on 7/1/19.
- F2The options vest as follows: 6,667 on 6/18/15; 6,667 on 6/18/16; and 6,666 on 6/18/17.