SEC Form 4 · accession 0001144204-17-035835
BARRETT BUSINESS SERVICES INC · BBSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jon L Justesen
Director
Period of report
Jul 1, 2017
Accepted (ET)
Jul 5, 2017 · 9:51 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000902791
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jul 1, 2017 | M | 314 | $0.00 | A | 14,392 | D | |
| Common Stock | Jul 1, 2017 | M | 322 | $0.00 | A | 14,714 | D | |
| Common Stock | Jul 1, 2017 | M | 256 | $0.00 | A | 14,970 | D | |
| Common Stock | Jul 1, 2017 | M | 248 | $0.00 | A | 15,218 | D | |
| Common StockF1 | holding | — | — | — | 13,499 | I | By Justesen Ranches | |
| Common StockF1 | holding | — | — | — | 7,500 | I | By Justesen Ranches Keogh Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF2,F3 | — | Jul 1, 2017 | A | 1,090 | A | — | — | Common Stock | 1,090 | 1,090 | D |
| Restricted Stock UnitsF2,F4 | — | Jul 1, 2017 | M | 314 | D | — | — | Common Stock | 314 | 942 | D |
| Restricted Stock UnitsF2,F5 | — | Jul 1, 2017 | M | 322 | D | — | — | Common Stock | 322 | 642 | D |
| Restricted Stock UnitsF2,F6 | — | Jul 1, 2017 | M | 256 | D | — | — | Common Stock | 256 | 255 | D |
| Restricted Stock UnitsF2,F7 | — | Jul 1, 2017 | M | 248 | D | — | — | Common Stock | 248 | 0 | D |
Explanation of responses
- F1The reporting person is a co-owner of Justesen Ranches. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
- F2Each Restricted Stock Unit represents a contingent right to receive one share of the Issuer's common stock.
- F3The Restricted Stock Units vest in three equal annual installments beginning on July 1, 2018, and will be settled by delivery of unrestricted shares of common stock on the vesting date.
- F4The Restricted Stock Units vest in four equal annual installments beginning on July 1, 2017, and will be settled by delivery of unrestricted shares of common stock on the vesting date.
- F5The Restricted Stock Units vest in four equal annual installments beginning on July 1, 2016, and will be settled by delivery of unrestricted shares of common stock on the vesting date.
- F6The Restricted Stock Units vest in four equal annual installments beginning on July 1, 2015, and will be settled by delivery of unrestricted shares of common stock on the vesting date.
- F7The Restricted Stock Units vested in four equal annual installments beginning on July 1, 2014.
Remarks
Exhibit 24: Power of Attorney