Statement of Changes in Beneficial Ownership (4)
April 27 2021 - 4:26PM
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
*
Bogdanov Leo |
2. Issuer Name and Ticker or Trading Symbol
Waitr Holdings Inc.
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WTRH
]
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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) Chief Financial Officer, CAO |
(Last)
(First)
(Middle)
C/O WAITR HOLDINGS INC., 214 JEFFERSON STREET, SUITE 200 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
4/23/2021 |
(Street)
LAFAYETTE, LA 70501
(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 | | | | | | | | 52735 | 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) | | | | | | | (2) | (2) | Common Stock | 85471 | | 85471 | D | |
Restricted Stock Units | (1) | | | | | | | (3) | (3) | Common Stock | 121794 | | 121794 | D | |
Restricted Stock Units | (1) | 4/23/2021 | | A | | 85000 | | (4) | (4) | Common Stock | 85000 | $0.00 | 85000 | D | |
Explanation of Responses: |
(1) | Each restricted stock unit ("RSU") represents a contingent right to receive one share of the Issuer's common stock or an equivalent amount in cash (or partly in cash and partly in shares). |
(2) | Such RSUs vest as follows: 42,735 vest on August 29, 2021 and 42,736 vest on August 29, 2022, subject to the Reporting Person's continued employment with the Issuer through the applicable vesting date, with immediate acceleration upon a change in control (as defined in the Issuer's 2018 Omnibus Incentive Plan). |
(3) | One-third (1/3) of such RSUs vest on each of the first three anniversaries of May 22, 2020, subject to the Reporting Person's continued employment with the Issuer through the applicable vesting date, with immediate acceleration upon a change in control (as defined in the Issuer's 2018 Omnibus Incentive Plan). |
(4) | One-third (1/3) of such RSUs vest on each of the first three anniversaries of April 23, 2021, subject to the Reporting Person's continued employment with the Issuer through the applicable vesting date, with immediate acceleration upon a change in control (as defined in the Issuer's 2018 Omnibus Incentive Plan). |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Bogdanov Leo C/O WAITR HOLDINGS INC. 214 JEFFERSON STREET, SUITE 200 LAFAYETTE, LA 70501 |
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| Chief Financial Officer, CAO |
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Signatures
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/s/ Annette Finch | | 4/27/2021 |
**Signature of Reporting Person | Date |
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