Statement of Changes in Beneficial Ownership (4)
October 19 2017 - 4:53PM
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).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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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
*
DELL MICHAEL S
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2. Issuer Name
and
Ticker or Trading Symbol
Dell Technologies Inc
[
DVMT
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Chief Executive Officer
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(Last)
(First)
(Middle)
ONE DELL WAY
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3. Date of Earliest Transaction
(MM/DD/YYYY)
10/18/2017
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(Street)
ROUND ROCK, TX 78682
(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
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Class C Common Stock
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10/18/2017
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P
(1)
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81573
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A
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$32.70
(1)
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499604.45
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D
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Class C Common Stock
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10/18/2017
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C
(2)
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25320
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A
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$0
(2)
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524924.45
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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)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Class A Common Stock
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$0
(3)
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10/18/2017
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P
(1)
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25320
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(3)
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(3)
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Class C Common Stock
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25320
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$32.70
(1)
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339950310
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D
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Class A Common Stock
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$0
(3)
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10/18/2017
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C
(2)
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25320
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(3)
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(3)
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Class C Common Stock
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25320
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$0
(2)
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339924990
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D
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Class A Common Stock
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$0
(3)
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(3)
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(3)
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Class C Common Stock
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32890896
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32890896
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I
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By Susan Lieberman Dell Separate Property Trust
(4)
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Explanation of Responses:
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(1)
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Reflects the exercise of the reporting person's repurchase right under the Dell Technologies Inc. Amended and Restated Management Stockholders Agreement, dated as of September 7, 2016 (the "Stockholders Agreement"), following the (a) exercise by Dell Technologies Inc. of call rights with respect to an aggregate of 25,320 shares of Class A common stock and 73,491 shares of Class C common stock held by former employees of Dell Technologies Inc. and (b) exercise by a former employee of Dell Technologies Inc. of a put right with respect to 8,082 shares of Class C common stock, in each case at fair market value as of the applicable date each put right or call right was exercised, in accordance with the terms of the Stockholders Agreement.
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(2)
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Represents the automatic conversion of 25,320 shares of Class A common stock into an equal number of shares of Class C common stock in connection with the repurchase of such shares of Class A common stock by the reporting person as described in note 1 above in accordance with the terms of the Fourth Amended and Restated Certificate of Incorporation of Dell Technologies Inc., as amended.
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(3)
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Each share of Class A common stock beneficially owned by the reporting person is convertible into one share of Class C common stock at any time at the holder's election. In addition, upon certain transfers of shares of Class A common stock, the shares so transferred automatically convert into shares of Class C common stock on a one-for-one basis, in accordance with the terms of the Fourth Amended and Restated Certificate of Incorporation of Dell Technologies Inc., as amended.
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(4)
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The reporting person disclaims beneficial ownership of these securities for purposes of Rule 16a-1(a)(1) and (2) under the Securities Exchange Act of 1934, and neither the filing of this statement nor anything herein shall be deemed an admission that he is, for purposes of Section 16 of the Securities Exchange Act of 1934 or for any other purpose, the beneficial owner of the securities.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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DELL MICHAEL S
ONE DELL WAY
ROUND ROCK, TX 78682
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X
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Chief Executive Officer
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Signatures
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/s/ Janet Bawcom, Attorney-in-Fact
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10/19/2017
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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