SEC Form 4 · accession 0001140361-18-008428
USA TECHNOLOGIES INC · USAT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Albin F Moschner
Director
Period of report
Feb 14, 2018
Accepted (ET)
Feb 14, 2018 · 6:20 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 Stock | Feb 14, 2018 | X | 20,000 | $2.05 | A | 20,000 | I | By Moschner Family LLC |
| Common Stock | holding | — | — | — | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-Qualified Stock Option (Right to Buy)F1,F3 | $2.05 | Feb 14, 2018 | X | 20,000 | D | — | Jun 18, 2021 | Common Stock | 20,000 | 0 | I |
| Series A Convertible Preferred StockF2 | — | holding | — | — | — | — | — | Common Stock | 291 | 4,000 | D |
Explanation of responses
- F1Represents shares of common stock issued to the Moschner Family LLC upon exercise of Non-Qualified Stock Options at the price of $2.05 per share.
- 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.