SEC Form 4 · accession 0001140361-16-072925
USA TECHNOLOGIES INC · USAT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William J. Reilly Jr.
Director
Period of report
Jul 19, 2016
Accepted (ET)
Jul 20, 2016 · 5:33 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 Stock | Jul 19, 2016 | A | 2,342 | $4.27 | A | 83,197 | D | |
| Common Stock | holding | — | — | — | 100 | I | By Child |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Convertible Preferred StockF2 | — | holding | — | — | — | — | — | Common Stock | 97 | 500 | D |
| Non-Qualified Stock Option (Right to Buy)F3 | $2.05 | holding | — | — | — | — | Jun 18, 2021 | Common Stock | 20,000 | 20,000 | D |
Explanation of responses
- F1Represents shares of common stock issued by the Company to Mr. Reilly for director fees attributable to the quarter ended June 30, 2016.
- F2As of April 25, 2016, each share of series A convertible preferred stock was convertible into 0.1940 of a share of common stock at the option of the holder and is subject to further adjustment as provided in the Articles of Incorporation. The shares do not have an expiration date.
- F3The options vested or vest as follows: 6,667 on 6/18/15; 6,667 on 6/18/16; and 6,666 on 6/18/17.