Statement of Changes in Beneficial Ownership (4)
September 13 2021 - 06:08PM
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
|
OMB
APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response... 0.5 |
|
Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment
Company Act of 1940
|
|
| 1. Name
and Address of Reporting Person * Afsari Nasym |
2. Issuer Name and Ticker or Trading
Symbol Montrose Environmental Group, Inc. [ MEG
] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
General Counsel and Secretary |
|
(Last)
(First)
(Middle)
1 PARK PLAZA, SUITE 1000 |
3. Date of Earliest Transaction (MM/DD/YYYY)
9/9/2021
|
|
(Street)
IRVINE, CA 92614
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
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
|
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 |
|
Common Stock |
9/9/2021 |
|
S |
|
1600 |
D |
$55.60 (1) |
17968 |
D |
|
|
Common Stock |
9/9/2021 |
|
S |
|
1218 |
D |
$56.49 (2) |
16750 |
D |
|
|
Common Stock |
9/9/2021 |
|
M |
|
19090 |
A |
$5.72 |
35840 |
D |
|
|
Common Stock |
9/9/2021 |
|
S |
|
10670 |
D |
$55.54 (3) |
25170 |
D |
|
|
Common Stock |
9/9/2021 |
|
S |
|
8420 |
D |
$56.46 (4) |
16750 |
D |
|
|
Common Stock |
9/9/2021 |
|
M |
|
10360 |
A |
$6.03 |
27110 |
D |
|
|
Common Stock |
9/9/2021 |
|
S |
|
5500 |
D |
$55.54 (5) |
21610 |
D |
|
|
Common Stock |
9/9/2021 |
|
S |
|
4860 |
D |
$56.48 (6) |
16750 |
D |
|
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 |
|
Stock Option (Right to Buy) |
$6.03 |
9/9/2021 |
|
M |
|
|
10360 |
(7) |
6/23/2026 |
Common Stock |
10360 |
$0.00 |
126625 |
D |
|
|
Stock Option (Right to Buy) |
$5.72 |
9/9/2021 |
|
M |
|
|
19090 |
(8) |
9/2/2024 |
Common Stock |
19090 |
$0.00 |
0 |
D |
|
| Explanation of
Responses: |
| (1) |
The price reported in Column
4 is a weighted average price. These shares of common stock of the
Issuer were sold in multiple transactions by the Reporting Person
at prices ranging from $55.15 to $56.14, inclusive. The Reporting
Person undertakes to provide upon request by the Commission staff,
the Issuer, or a security holder of the Issuer full information
regarding the number of shares of common stock sold at each
separate price within the range. |
| (2) |
The price reported in Column
4 is a weighted average price. These shares of common stock of the
Issuer were sold in multiple transactions by the Reporting Person
at prices ranging from $56.16 to $56.88, inclusive. The Reporting
Person undertakes to provide upon request by the Commission staff,
the Issuer, or a security holder of the Issuer full information
regarding the number of shares of common stock sold at each
separate price within the range. |
| (3) |
The price reported in Column
4 is a weighted average price. These shares of common stock of the
Issuer were sold in multiple transactions by the Reporting Person
at prices ranging from $55.06 to $56.05, inclusive. The Reporting
Person undertakes to provide upon request by the Commission staff,
the Issuer, or a security holder of the Issuer full information
regarding the number of shares of common stock sold at each
separate price within the range. |
| (4) |
The price reported in Column
4 is a weighted average price. These shares of common stock of the
Issuer were sold in multiple transactions by the Reporting Person
at prices ranging from $56.06 to $57.00, inclusive. The Reporting
Person undertakes to provide upon request by the Commission staff,
the Issuer, or a security holder of the Issuer full information
regarding the number of shares of common stock sold at each
separate price within the range. |
| (5) |
The price reported in Column
4 is a weighted average price. These shares of common stock of the
Issuer were sold in multiple transactions by the Reporting Person
at prices ranging from $55.14 to $56.12, inclusive. The Reporting
Person undertakes to provide upon request by the Commission staff,
the Issuer, or a security holder of the Issuer full information
regarding the number of shares of common stock sold at each
separate price within the range. |
| (6) |
The price reported in Column
4 is a weighted average price. These shares of common stock of the
Issuer were sold in multiple transactions by the Reporting Person
at prices ranging from $56.14 to $56.92, inclusive. The Reporting
Person undertakes to provide upon request by the Commission staff,
the Issuer, or a security holder of the Issuer full information
regarding the number of shares of common stock sold at each
separate price within the range. |
| (7) |
50% of the shares subject to
the option vested on June 9, 2017 and the remaining 50% vested on
June 9, 2019. |
| (8) |
50% of the shares subject to
the option vested on September 9, 2016 and the remaining 50% vested
on September 9, 2018. |
Remarks:
The transactions reported in this Form 4 were effected pursuant to
a Rule 10b5-1 Trading Plan adopted by the Reporting Person. |
Reporting
Owners
|
|
Reporting Owner Name / Address |
Relationships
|
|
Director |
10% Owner |
Officer |
Other |
Afsari Nasym
1 PARK PLAZA, SUITE 1000
IRVINE, CA 92614 |
|
|
General Counsel and Secretary |
|
Signatures
|
|
/s/ Nasym Afsari |
|
9/13/2021 |
| **Signature of Reporting
Person |
Date |
Montrose Environmental (NYSE:MEG)
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