SEC Form 4 · accession 0001140361-18-002208
USA TECHNOLOGIES INC · USAT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Albin F Moschner
Director
Period of report
Jan 12, 2018
Accepted (ET)
Jan 17, 2018 · 4:52 pm EST
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 | Jan 12, 2018 | A | 1,154 | $9.75 | A | 340,080 | D |
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 | 291 | 4,000 | D |
| Non-Qualified Stock Option (Right to Buy)F3 | $2.05 | holding | — | — | — | — | Jun 18, 2021 | Common Stock | 20,000 | 20,000 | I |
Explanation of responses
- F1Represents shares of common stock issued by the Company to Mr. Moschner for director fees attributable to the quarter ended December 31, 2017.
- F2As of June 30, 2017, 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 as follows: 6,667 on 6/18/15; 6,667 on 6/18/16; and 6,666 on 6/18/17.