SEC Form 4 · accession 0001225208-17-009499
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
May 9, 2017
Accepted (ET)
May 11, 2017 · 4:23 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 | May 9, 2017 | F | 1,971 | $15.45 | D | 234,051 | D | |
| Common stockF2,F3 | May 10, 2017 | A | 25,000 | $0.00 | A | 259,051 | D | |
| Common stockF1 | May 10, 2017 | F | 2,054 | $15.55 | D | 256,997 | 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 OptionF4 | $15.55 | May 10, 2017 | A | 72,000 | A | May 10, 2018 | May 10, 2023 | Common stock | 72,000 | 72,000 | D |
Explanation of responses
- F1Surrender of stock to satisfy withholding obligation on vesting of restricted stock
- F2Consists of restricted shares issued under the CBIZ, Inc. 2014 Stock Incentive Plan. Restrictions lapse with respect to 25% of the granted restricted shares on each of the first, second, third and fourth anniversaries of the grant date, provided grantee is still providing services to CBIZ on such vesting dates, and grantee has complied with the applicable CBIZ client non-interference policy.
- F3No consideration was provided for this grant.
- F4Consists of Options granted of5/10/2017 vesting in 25% increments each year beginning 05/10/2018 and expiring on 05/10/2023.