Amended Statement of Changes in Beneficial Ownership (4/a)
August 24 2021 - 4:32PM
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
*
Kerr Justin |
2. Issuer Name and Ticker or Trading Symbol
GTY Technology Holdings Inc.
[
GTYH
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) CAO AND CONTROLLER |
(Last)
(First)
(Middle)
SUITE 100 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
3/1/2021 |
(Street)
LAS VEGAS, NV 89144
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
3/2/2021 |
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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Common Stock | 3/1/2021 | | M | | 7500 | A | (1) | 15000 | D | |
Common Stock | 3/1/2021 | | F(2) | | 3093 | D | $8.05 | 11907 | 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. 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 |
Restricted Stock Units | (1) | 3/1/2021 | | M | | | 7500 | (1) | (1) | Common Stock | 7500 | $0 | 75000 | D | |
Explanation of Responses: |
(1) | 7,500 restricted stock units vested on February 10, 2021. Common stock resulting from the vesting of these restricted stock units was issued on March 1, 2021. Restricted stock units convert on a one-for-one basis into common stock or the cash equivalent. |
(2) | 3,093 shares of common stock were withheld for the payment of taxes applicable to the vesting of restricted stock units. |
Remarks: This amendment is being filed to correct to the number of shares of common stock withheld for the payment of taxes applicable to the vesting of restricted stock.units. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Kerr Justin SUITE 100 LAS VEGAS, NV 89144 |
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| CAO AND CONTROLLER |
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Signatures
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/s/ Jon C. Bourne, Attorney-in-Fact | | 8/24/2021 |
**Signature of Reporting Person | Date |
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