SEC Form 4
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 MONEYGRAM INTERNATIONAL INC [ MGI ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 02/22/2018 | ||||||||||||||||||||||||||
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 | 02/22/2018 | F | 3,946(1) | D | $11.31(2) | 146,190(3) | D | |||
Common Stock | 02/23/2018 | F | 7,493(4) | D | $11.27(5) | 138,697(6) | D | |||
Common Stock | 02/25/2018 | F | 1,312(7) | D | $11.33(8) | 137,385(9) | 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 |
Explanation of Responses: |
1. Represents the number of shares withheld for the payment of tax liabilities in connection with the vesting of 11,780 time-based RSUs and 4,422 performance-based RSUs that were granted on Februiary 22, 2017. |
2. The price was determined based on the closing price of $11.31 per share of MoneyGram International, Inc.'s common stock on February 22, 2018. |
3. Includes 99,448 shares that may be issued upon vesting of previously granted performance-based and time-based RSUs. |
4. Represents the number of shares withheld for the payment of tax liabilities in connection with the vesting of 25,811 time-based RSUs and 4,960 performance-based RSUs that were granted on February 23, 2016. |
5. The price was determined based on the closing price of $11.27 per share of MoneyGram International, Inc.'s common stock on February 23, 2018. |
6. Includes 68,677 shares that may be issued upon vesting of previously granted performance-based and time-based RSUs. |
7. Represents the number of shares withheld for the payment of tax liabilities in connection with the vesting of 2,695 time-based RSUs and 2,689 performance-based RSUs that were granted on February 25, 2015. |
8. The price was determined based on the closing price of $11.33 per share of MoneyGram International, Inc.'s common stock on February 26, 2018, the next business day after the vesting date. |
9. Includes 63,293 shares that may be issued upon vesting of previously granted performance-based and time-based RSUs. |
Remarks: |
/s/ Francis Aaron Henry, attorney-in-fact | 02/26/2018 | |
** 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. |