Statement of Changes in Beneficial Ownership (4)
November 22 2019 - 4:43PM
Edgar (US Regulatory)
FORM 4
[X]
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
*
MOSCHNER ALBIN F |
2. Issuer Name and Ticker or Trading Symbol
USA TECHNOLOGIES INC
[
USAT
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner _____ Officer (give title below) __X__ Other (specify below) Former Director |
(Last)
(First)
(Middle)
1400 GULF SHORE BLVD. N UNIT 206 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
10/16/2019 |
(Street)
NAPLES, FL 34102
(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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Common Stock | 10/16/2019 | | A | | 13216 (1) | A | $0 | 366482 (2) | D | |
Common Stock | | | | | | | | 20000 | I | By Moschner Family LLC |
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 |
Series A Convertible Preferred Stock | (3) | | | | | | | (3) | (3) | Common Stock | 795 | | 4000 | D | |
Explanation of Responses: |
(1) | The shares were to vest as follows: 6,608 shares on 10/16/19 and 6,608 shares on 10/16/20. On November 22, 2019, the vesting schedule was revised so that all of the shares vest on 11/8/19. |
(2) | Pursuant to a Form 4 filed on July 5, 2018, Mr. Moschner reported that an award to him of 6,677 shares of common stock dated 7/2/18 was to vest ratably over a period of twenty-four (24) months, starting 8/1/18. On November 22, 2019, the vesting schedule for such shares was revised so that all of the shares that had not vested as of 11/8/19, would vest as of such date. |
(3) | As of June 30, 2018, each share of series A convertible preferred stock was convertible into 0.1988 of a share of common stock at the option of the holder and is subject to further adjustment as provided in the Articles of Incorporation. The shares do not have an expiration date. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
MOSCHNER ALBIN F 1400 GULF SHORE BLVD. N UNIT 206 NAPLES, FL 34102 |
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| Former Director |
Signatures
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/s/ Albin F. Moschner | | 11/22/2019 |
**Signature of Reporting Person | Date |
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