SEC Form 4 · accession 0001225208-15-018437
CBIZ, Inc. · CBZ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael P Kouzelos
Officer — President, Employee Services
Period of report
Sep 15, 2015
Accepted (ET)
Sep 16, 2015 · 3:33 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000944148
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common stockF1 | Sep 15, 2015 | M | 70,000 | $6.75 | A | 275,087 | D | |
| Common stockF2 | Sep 15, 2015 | F | 55,581 | $10.02 | D | 219,506 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock OptionF3 | $6.75 | Sep 15, 2015 | M | 70,000 | D | May 13, 2011 | May 13, 2016 | Common stock | 70,000 | 0 | D |
| Employee Stock Option | $7.41 | holding | — | — | — | Apr 4, 2012 | Apr 4, 2017 | Common stock | 70,000 | 70,000 | D |
| Employee Stock Option | $6.52 | holding | — | — | — | May 9, 2014 | May 9, 2019 | Common stock | 70,000 | 70,000 | D |
| Employee Stock Option | $8.36 | holding | — | — | — | May 14, 2015 | May 14, 2020 | Common stock | 70,000 | 70,000 | D |
| Employee Stock Option | $9.35 | holding | — | — | — | May 15, 2016 | May 15, 2021 | Common stock | 72,000 | 72,000 | D |
| Employee Stock Option | $5.87 | holding | — | — | — | May 22, 2013 | May 22, 2018 | Common stock | 70,000 | 70,000 | D |
Explanation of responses
- F1Exercise and sale of Employee Stock Options granted 5-13-2011 at $6.75 exercise price, expiring 5-13-16.
- F2Cashless Hold: exercise of options and sale of shares sufficient to cover only exericise price, taxes and fees.
- F3Exercise and sale of Employee Stock Options granted 5-13-2011 at $6.75 exercise price, expiring 5-13-2016.