SEC Form 4 · accession 0001140361-17-033795
USA TECHNOLOGIES INC · USAT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Priyanka Singh
Officer — Chief Financial Officer
Period of report
Aug 16, 2017
Accepted (ET)
Aug 30, 2017 · 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 Stock | Aug 23, 2017 | A | 17,790 | $0.00 | A | 17,790 | 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 | $5.25 | Aug 16, 2017 | A | 25,000 | A | — | Aug 16, 2024 | Common Stock | 25,000 | 25,000 | D |
| Non-Qualified Stock Option (Right to Buy)F3 | $4.00 | holding | — | — | — | — | Mar 31, 2024 | Common Stock | 75,000 | 75,000 | D |
Explanation of responses
- F1Represents shares awarded to Ms. Singh under the Company's Fiscal Year 2017 Long-Term Incentive Performance Share Plan, which vest as follows: one-third upon issuance, one-third on June 30, 2018, and one-third on June 30, 2019.
- F2The stock options vest as follows: 8,334 on 8/16/2018, 8,333 on 8/16/2019, and 8,333 on 8/16/2020.
- F3The stock options vest on March 31, 2018.