| FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 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). | ||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol WAGEWORKS, INC. [ WAGE ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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| 3. Date of Earliest Transaction (Month/Day/Year) 08/30/2019 | ||||||||||||||||||||||||||
| 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 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 | 08/30/2019 | D | 90,530 | D | $51.35 | 0 | 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) | ||||
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
| Employee Stock Option (Right to Buy) | $43.63 | 08/30/2019 | D | 75,000 | 02/11/2016 | (1) | Common Stock | 75,000 | $0 | 0 | D | ||||
| Employee Stock Option (Right to Buy) | $73.5 | 08/30/2019 | D | 100,000 | 02/17/2017 | (2) | Common Stock | 100,000 | $0 | 0 | D | ||||
| Restricted Stock Units | $0 | 08/30/2019 | D | 81,792 | 07/01/2020 | (3) | Common Stock | 81,792 | $0 | 0 | D | ||||
| Stock Options (Right to Buy) | $9.59 | 08/30/2019 | D | 40,000 | 02/09/2012 | (1) | Common Stock | 40,000 | $0 | 0 | D | ||||
| Stock Options (Right to Buy) | $57.1 | 08/30/2019 | D | 25,000 | 02/24/2014 | (1) | Common Stock | 25,000 | $0 | 0 | D | ||||
| Stock Options (Right to Buy) | $23.76 | 08/30/2019 | D | 50,000 | 03/06/2013 | (4) | Common Stock | 50,000 | $0 | 0 | D | ||||
| Performance Rights | $0 | 08/30/2019 | D | 75,000 | 02/16/2017 | (5) | Common Stock | 75,000 | $0 | 0 | D | ||||
| Explanation of Responses: |
| 1. At the effective time of the merger, this option vested in full and was canceled in exchange for a cash amount equal to the net value of the exercise price and the purchase price. |
| 2. At the effective time of the merger, this option vested in full and was canceled. |
| 3. At the effective time of the merger, this equity grant was converted into RSUs of the acquiring company. |
| 4. At the effective time of the merger, this option vested was canceled in exchange for a cash amount equal to the net value of the exercise price and the purchase price. |
| 5. At the effective time of the merger, these PSUs vested in full at target and were canceled in exchange for a cash amount equal to the purchase price. |
| /s/John Saia Attorney-in-Fact for Edgar Montes | 08/30/2019 | |
| ** 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 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. | ||
