SEC Form 3
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 04/30/2019 | 3. Issuer Name and Ticker or Trading Symbol CUMULUS MEDIA INC [ CMLS ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Class A Common Stock, par value $0.0000001 per share | 2,849 | D | |
Class A Common Stock, par value $0.0000001 per share | 13,284(1) | D | |
Class A Common Stock, par value $0.0000001 per share | 6,700(2) | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Options (right to buy) | (3) | 06/05/2028 | Class A Common Stock, par value $0.0000001 per share | 26,568 | 25.7 | D |
Explanation of Responses: |
1. Represents grant of restricted stock units, 30% of which vest on each of June 5, 2019 and June 5, 2020, and 20% of which vest on each of June 5, 2021 and June 5, 2022. Each restricted stock unit represents a right to receive one share of Class A common stock. |
2. Represents grant of restricted stock units, 30% of which vest on each of February 1, 2020 and February 1, 2021, and 20% of which vest on each of February 1, 2022 and February 1, 2023. Each restricted stock unit represents a right to receive one share of Class A common stock. |
3. Represents grant of stock options, 30% of which vest on each of June 5, 2019 and June 5, 2020, and 20% of which vest on each of June 5, 2021 and June 5, 2022. |
Remarks: |
See Exhibit 24 for power of attorney. |
Richard S. Denning, Attorney-In-Fact | 05/10/2019 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |