Statement of Changes in Beneficial Ownership (4)
December 18 2020 - 06:25PM
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
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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 * Labay
Mark F. |
2. Issuer Name and Ticker or Trading
Symbol Everi Holdings Inc. [ EVRI ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
EVP, CFO |
(Last)
(First)
(Middle)
7250 S. TENAYA WAY, SUITE 100 |
3. Date of Earliest Transaction (MM/DD/YYYY)
12/17/2020
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(Street)
LAS VEGAS, NV 89113
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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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 |
12/17/2020 |
|
M |
|
30000 (1) |
A |
$3.41 |
47214 |
D |
|
Common Stock |
12/17/2020 |
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S |
|
30000 (1) |
D |
$14 (2) |
17214 |
D |
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Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
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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 |
Stock Option |
$3.41 |
12/17/2020 |
|
M |
|
|
30000 (1) |
(3) |
3/1/2021 |
Common Stock |
30000.0 |
$0 |
0 |
D |
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Explanation of
Responses: |
(1) |
The transaction(s) reflected
in this Form 4 were effected pursuant to a 10b5-1 plan adopted by
the reporting person on March 13, 2020. The plan provides for a
maximum number of options of 30,000, which were part of an award
originally granted on March 1, 2011, which were to be sold based on
options that would have expired on March 1, 2021. |
(2) |
The price reported in Column
4 of Table I is a weighted average price. The shares were sold in
multiple transactions at a price range of approximately $14.00. The
reporting person undertakes to provide to the Corporation, any
security holder of the Corporation, or the staff of the Securities
and Exchange Commission, upon request, full information regarding
the number of shares sold at each separate price within the range
set forth in this footnote. |
(3) |
Represents an option to
purchase 30,000 shares of the Company's stock, which vested
periodically over a period of four years following the date of
grant. |
Reporting
Owners
|
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 |
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12/18/2020 |
**Signature of
Reporting Person |
Date |