| 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) 06/26/2019 | 3. Issuer Name and Ticker or Trading Symbol MDC PARTNERS INC [ MDCA ] | |||||||||||||
| 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 Restricted Stock(1) | 250,000 | 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 Appreciation Rights(2) | 06/17/2020 | 06/17/2024 | Class A Shares | 250,000 | 5 | D | |
| Explanation of Responses: |
| 1. The Issuer granted 250,000 restricted Class A Subordinate Voting Shares to the Reporting Person pursuant to a Restricted Stock Grant Agreement dated June 26, 2019. These restricted Class A Shares will vest in three equal installments on June 17, 2020, June 17, 2021 and June 17, 2022, subject to the Reporting Person's continued employment with the Company through each of the applicable vesting dates. |
| 2. The Issuer granted 250,000 Stock Appreciation Rights ("SARs") to the Reporting Person on June 26, 2019, with a base price of $5.00. These SARS will vest in three equal installments on June 17, 2020, June 17, 2021 and June 17, 2022, subject to the Reporting Person's continued employment with the Company through each of the applicable vesting dates. These SARs will be settled in Class A Shares upon exercise. |
| /s/ Jonathan B. Mirsky | 06/27/2019 | |
| ** 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. | ||
