Statement of Changes in Beneficial Ownership (4)
November 12 2021 - 9:36AM
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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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
*
MASYR EVAN D |
2. Issuer Name and Ticker or Trading Symbol
SALEM MEDIA GROUP, INC. /DE/
[
SALM
]
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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) EVP & CFO |
(Last)
(First)
(Middle)
4880 SANTA ROSA ROAD, STE 300 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
11/9/2021 |
(Street)
CAMARILLO, CA 93012
(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 A Common Stock | 11/9/2021 | | M | | 48000.00 | A | $2.74 | 60224.00 | D | |
Class A Common Stock | 11/9/2021 | | S | | 48000.00 (1) | D | $4.1156 | 12224.00 | D | |
Class A Common Stock | 11/9/2021 | | M | | 10000.00 | A | $1.47 | 22224.00 | D | |
Class A Common Stock | 11/9/2021 | | M | | 18750.00 | A | $1.34 | 40974.00 | D | |
Class A Common Stock | 11/9/2021 | | S | | 28750.00 | D | $4.2054 (2) | 12224.00 | 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 |
Stock Option (right to buy) | $2.74 | 11/9/2021 | | M | | | 48000.00 | 3/7/2015 (3) | 3/7/2022 (4) | Class A Common Stock | 48000.00 | $0.00 | 0.00 | D | |
Stock Options (Right to buy) | $1.47 | 11/9/2021 | | M | | | 10000.00 | 1/2/2021 (5) | 1/2/2030 | Common Stock | 10000.00 | $0.00 | 40000.00 | D | |
Stock Options (Right to buy) | $1.34 | 11/9/2021 | | M | | | 18750.00 | 3/3/2021 (6) | 3/3/2029 | Common Stock | 18750.00 | $0.00 | 56250.00 | D | |
Explanation of Responses: |
(1) | This transaction was executed in multiple trades at prices ranging from $4.02 to $4.23. The price reported above reflects the weighted average price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. |
(2) | This transaction was executed in multiple trades at prices ranging from $4.10 to $4.24. The price reported above reflects the weighted average price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. |
(3) | The option shall vest fifty percent (50%) on March 7, 2015 and fifty percent (50%) on March 7, 2016. Upon any exercise, the reporting person must hold at least fifty percent (50%) of the shares purchased in each exercise for a period of at least two (2) years. |
(4) | The option expires on the fifth (5th) anniversary of each vesting date. The first installment to vest will expire on March 7, 2020 and the last installment to vest will expire on March 7, 2022. |
(5) | 50,000 options were granted on January 2, 2020. The options vest annually in five (5) equal installments commencing January 2, 2021. |
(6) | 75,000 options were granted on March 3, 2020. The options vest annually in four (4) equal installments commencing March 3, 2021. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
MASYR EVAN D 4880 SANTA ROSA ROAD STE 300 CAMARILLO, CA 93012 |
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| EVP & CFO |
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Signatures
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Christopher J. Henderson, as Attorney-in-Fact for MASYR EVAN D pursuant to a continuing Power of Attorney | | 11/11/2021 |
**Signature of Reporting Person | Date |
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