Initial Statement of Beneficial Ownership (3)
April 03 2020 - 5:02PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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Labay Mark F. |
2. Date of Event Requiring Statement (MM/DD/YYYY)
4/1/2020
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3. Issuer Name and Ticker or Trading Symbol
Everi Holdings Inc. [EVRI]
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(Last)
(First)
(Middle)
7250 S. TENAYA WAY, SUITE 100 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) EVP, CFO / |
(Street)
LAS VEGAS, NV 89113
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock (1) | 2210 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Stock Option (1) | (2) | 3/1/2021 | Common Stock | 30000.0 | $3.41 | D | |
Stock Option (1) | (3) | 3/2/2022 | Common Stock | 28000.0 | $5.58 | D | |
Stock Option (1) | (4) | 5/13/2026 | Common Stock | 50000.0 | $1.46 | D | |
Stock Option (1) | (5) | 3/8/2027 | Common Stock | 45000.0 | $3.29 | D | |
Restricted Stock Units (1) | (6) | (6) | Common Stock | 9000.0 (6) | (7) | D | |
Restricted Stock Units (1) | (8) | (8) | Common Stock | 17000.0 | (7) | D | |
Restricted Stock Units (1) | (9) | (9) | Common Stock | 7754.0 | (7) | D | |
Explanation of Responses: |
(1) | In connection with the appointment as Executive Vice President, Chief Financial Officer and Treasurer, Mr. Labay also became a Section 16 Officer effective April 1, 2020. |
(2) | Represents an option to purchase 30,000 shares of the Company's common stock, which vested over a period of four years from the date of grant of March 1, 2011. |
(3) | Represents an option to purchase 28,000 shares of the Company's common stock, which vested over a period of four years from the date of grant of March 2, 2012. |
(4) | Represents an option to purchase 50,000 shares of the Company's common stock, which will vest in equal installments on each of the first four anniversary dates from the date of grant of May 13, 2016. |
(5) | Represents an option to purchase 45,000 shares of the Company's common stock, which will vest in equal installments on each of the first four anniversary dates from the date of grant of March 8, 2017. |
(6) | Represents restricted stock units to originally acquire 12,000 shares of the Company's common stock that will vest in equal installments on each of the first four anniversary dates from the date of grant of May 22, 2018. |
(7) | Each restricted stock unit represents a contingent right to receive one share of common stock. |
(8) | Represents restricted stock units to acquire shares of the Company's common stock that will vest in equal installments on each of the first four anniversary dates from the date of grant of May 1, 2019. |
(9) | Represents restricted stock units to acquire shares of the Company's common stock that will fully vest in six months from the date of grant of March 13, 2020. |
Remarks: Exhibit 24 - Limited Power of Attorney |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Labay Mark F. 7250 S. TENAYA WAY SUITE 100 LAS VEGAS, NV 89113 |
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| EVP, CFO |
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Signatures
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/s/ Mark F. Labay by Todd A. Valli, Attorney-in-Fact | | 4/3/2020 |
**Signature of Reporting Person | Date |
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