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5 Filing
HireQuest (HQI) Form 5Command Center / JEFF T WILSON ownership change
Filed: 8 Feb 16, 12:00am
FORM 5 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol Command Center, Inc. [ CCNI ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year) 12/25/2015 | ||||||||||||||||||||||||||
4. 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 Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
Common Stock | 80,000 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) | 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: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Stock Options | $0.41 | (1) | (1) | Common Stock | 105,000 | 105,000 | D | |||||||
Restricted Stock Grant | (2) | (2) | (2) | Common Stock | 100,000 | 205,000 | D | |||||||
Performance Stock Award | (3) | (3) | (3) | Common Stock | 100,000 | 305,000 | D | |||||||
Stock Options | $0.7 | (4) | (4) | Common Stock | 500,000 | 805,000 | D | |||||||
Stock Options | $0.73 | (5) | (5) | Common Stock | 60,000 | 865,000 | D |
Explanation of Responses: |
1. Incentive stock options awarded to directors and employees. Vesting 25% on each anniversary, being fully vested on 5/10/16. Options expire 5/10/17. |
2. Restricted stock grant awarded 9/2/14, vests in four equal increments of 25,000 shares beginning on the anniversary date, being fully vested on 9/2/18. Subject to the terms of the Executive Employment Agreement dated 9/2/14. |
3. Restricted stock award vests upon attainment of the performance criteria set forth in the Executive Employment Agreement dated 9/2/14. |
4. Stock Options issued pursuant to the Executive Employment Agreement dated 9/2/14. Options vest in four annual increments of 125000 shares on the anniversary date, being fully vested on 9/2/18. |
5. Options awarded to directors for board service. Vesting 25% on the day of award, 12/11/2014, and 25% on each anniversary, being fully vested on 12/11/2017. The options expire 12/11/2021. |
/s/Jeff Wilson | 02/08/2016 | |
** 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 4 (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. |