SEC Form 4 · accession 0001140361-16-079853
USA TECHNOLOGIES INC · USAT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael K Lawlor
Officer — Chief Services Officer
Period of report
Sep 13, 2016
Accepted (ET)
Sep 15, 2016 · 9:59 am 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 | Sep 13, 2016 | A | 15,479 | $0.00 | A | 51,031 | D |
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)F2 | $2.94 | holding | — | — | — | — | Jan 12, 2023 | Common Stock | 75,000 | 75,000 | D |
| Qualified Stock Option (Right to Buy)F3 | $2.75 | holding | — | — | — | — | Apr 8, 2022 | Common Stock | 25,000 | 25,000 | D |
Explanation of responses
- F1Represents shares awarded to Mr. Lawlor under the Company's Fiscal Year 2016 Long-Term Stock Incentive Plan, which vest as follows: one-third upon issuance, one-third on 6/30/2017, and one-third on 6/30/ 2018.
- F2The options vest as follows: one-third on 1/12/2017; one-third on 1/12/2018; and one-third on 1/12/2019.
- F3The options vested or vest as follows: one-third on 4/8/2016; one-third on 4/8/2017; and one-third on 4/8/2018.