Statement of Changes in Beneficial Ownership (4)
February 18 2021 - 4:11PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
King Timothy P |
2. Issuer Name and Ticker or Trading Symbol
ALLIANCE DATA SYSTEMS CORP
[
ADS
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) EVP & Chief Financial Officer |
(Last)
(First)
(Middle)
3075 LOYALTY CIRCLE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
2/16/2021 |
(Street)
COLUMBUS, OH 43219
(City)
(State)
(Zip)
|
4. 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
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security (Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. Code (Instr. 8)
|
4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
|
5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
|
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
|
7. Nature of Indirect Beneficial Ownership (Instr. 4)
|
Code
|
V
|
Amount
|
(A) or (D)
|
Price
|
Common Stock | 2/16/2021 | | A(1) | | 14847 | A | (1) | 27943.1931 | D | |
Common Stock | 2/16/2021 | | A(2) | | 8908 | A | (2) | 36851.1931 | D | |
Common Stock | 2/16/2021 | | F(3) | | 404 | D | $86.31 | 34033.1931 (4)(5) | D | |
Common Stock | | | | | | | | 2701.812 (6) | I | By 401(k) Plan |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | The new grant is for 14,847 shares of common stock represented by time-based restricted stock units. The restrictions will lapse on 4,898 units on 2/16/22, on 4,900 units on 2/16/23 and on 5,049 units on 2/16/24, subject to continued employment by the Reporting Person on the vesting dates. |
(2) | The new grant is for 8,908 shares of common stock represented by performance-based restricted stock units, which may be adjusted up or down at the time the performance restriction lapses. The restriction may lapse with respect to 100% of such shares on 2/16/24 contingent on meeting predetermined performance measures and subject to continued employment by the Reporting Person on the vesting dates. |
(3) | Shares withheld by the Company to satisfy the Reporting Person's tax withholding obligation upon the vesting of restricted stock units. |
(4) | The total number of securities beneficially owned includes: (a) 1,438.1931 unrestricted shares; (b) 365 unvested units from an award of 1,073 time-based restricted stock units granted 2/15/19; (c) 1,235 unvested units from an award of 1,843 time-based restricted stock units granted 12/16/19; (d) 1,931 unvested time-based restricted stock units granted 2/18/20; (e) 4,344 unvested performance-based restricted stock units granted 2/18/20; (f) 965 unvested performance-based restricted stock units granted 2/18/20; (g) the new grant for 14,847 time-based restricted stock units; and (h) the new grant for 8,908 performance-based restricted stock units. |
(5) | The grant for 2,414 performance-based restricted stock units awarded on 2/18/20 was forfeited due to failure to meet the EBT performance metric for 2020. |
(6) | Includes 7.912 shares acquired under Alliance Data's 401(k) plan since the date of the Reporting Person's last ownership report. The information in this report is based on a plan statement dated as of December 31, 2020. |
Reporting Owners
|
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
King Timothy P 3075 LOYALTY CIRCLE COLUMBUS, OH 43219 |
|
| EVP & Chief Financial Officer |
|
Signatures
|
Cynthia L. Hageman, Attorney in Fact | | 2/18/2021 |
**Signature of Reporting Person | Date |
Alliance Data Systems (NYSE:ADS)
Historical Stock Chart
From Aug 2024 to Sep 2024
Alliance Data Systems (NYSE:ADS)
Historical Stock Chart
From Sep 2023 to Sep 2024