Statement of Changes in Beneficial Ownership (4)
July 27 2021 - 05:01PM
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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OMB
APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response... 0.5 |
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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 * McLernon John R. |
2. Issuer Name and Ticker or Trading
Symbol City Office REIT, Inc. [ CIO ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)__X__
Director _____
10% Owner
_____ Officer (give title
below) _____ Other
(specify below)
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(Last)
(First)
(Middle)
200 GRANVILLE STREET, 19TH FLOOR |
3. Date of Earliest Transaction (MM/DD/YYYY)
7/23/2021
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(Street)
VANCOUVER, A1 V6C 2R6
(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 |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
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1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
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) |
7/23/2021 |
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A |
|
116 |
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(2) |
(2) |
Common Stock |
116 (3) |
(1) |
10004 |
D |
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Explanation of
Responses: |
(1) |
In accordance with the
Company's Equity Incentive Plan (the "Equity Incentive Plan"),
Restricted Stock Units (as defined in the Equity Incentive Plan)
convert into common stock on a one-for-one basis. |
(2) |
The units represent
Restricted Stock Units issuable to the Reporting Person as a
dividend equivalency payment with respect to Restricted Stock Units
previously issued to the Reporting Person which vest in three
substantially equal installments on each of the first three annual
anniversaries of the initial Grant Date, generally subject to the
Participant's continued service through each applicable vesting
date. The Restricted Stock Units reported herein shall vest on the
same date and under the same terms as the underlying Restricted
Stock Units with respect of which these dividend equivalency units
vest. |
(3) |
Vested shares will be
delivered to the reporting person promptly upon vesting of the
related restricted stock units. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
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Director |
10% Owner |
Officer |
Other |
McLernon John R.
200 GRANVILLE STREET, 19TH FLOOR
VANCOUVER, A1 V6C 2R6 |
X |
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Signatures
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/s/ John McLernon |
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7/27/2021 |
**Signature of Reporting
Person |
Date |
City Office REIT (NYSE:CIO)
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