Statement of Changes in Beneficial Ownership (4)
19 December 2020 - 3:35AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
WHITSON CLAY M |
2. Issuer Name and Ticker or Trading Symbol
i3 Verticals, Inc.
[
IIIV
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chief Financial Officer |
(Last)
(First)
(Middle)
40 BURTON HILLS BLVD., SUITE 415 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/16/2020 |
(Street)
NASHVILLE, TN 37215
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security (Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. 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
|
Class A common stock, par value $0.0001 per share | 12/16/2020 | | M | | 7692 | A | $13.00 | 18476 | D | |
Class B common stock, par value $0.0001 per share | | | | | | | | 253093 (1)(2) | D | |
Class B common stock, par value $0.0001 per share | | | | | | | | 45769 (1)(2) | I | By Clay M. Whitson 2018 GRAT (3) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 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 of Derivative Security: 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 |
Stock Option (Right to Buy) | $13.00 | 12/16/2020 | | M | | | 7692 | (4) | 6/20/2028 | Class A common stock, par value $0.0001 per share | 7692 | $0.00 | 84616 | D | |
Common Units | (5) | | | | | | | (5)(6) | (5)(6) | Class A common stock, par value $0.0001 per share | 253093 | | 253093 (7) | D | |
Common Units | (5) | | | | | | | (5)(6) | (5)(6) | Class A common stock, par value $0.0001 per share | 45769 | | 45769 (7) | I | By Clay M. Whitson 2018 GRAT (8) |
Explanation of Responses: |
(1) | Shares of Class B common stock, par value $0.0001 per share (the "Class B Common Stock") of i3 Verticals, Inc. (the "Issuer") were transferred from the Clay M. Whitson 2018 Grantor Retained Annuity Trust (the "Trust"), of which the Reporting Person is trustee and beneficiary, to the Reporting Person individually, in a transaction exempted by Rule 16a-13. |
(2) | Pursuant to the Amended and Restated Certificate of Incorporation of the Issuer, the shares of the Issuer's Class B Common Stock are cancellable for no consideration on a one-to-one basis upon any redemption of the common units in i3 Verticals, LLC (the "Common Units") for shares of Class A common stock, par value $0.0001 per share ("Class A Common Stock") of the Issuer. |
(3) | Represents shares of Class B Common Stock held by the Trust. |
(4) | The option vests ratably in three equal annual installments beginning on the first anniversary of the grant date, subject to the Reporting Person's continued service with the Issuer. |
(5) | The Common Units may be redeemed by the Reporting Person at any time for an equal number of shares of Class A Common Stock or, at the election of i3 Verticals, LLC, cash equal to the volume-weighted average market price of such shares. Upon the Reporting Person's redemption of a Common Unit for Class A Common Stock, any corresponding share of Class B Common Stock will be cancelled. |
(6) | All Common Units are fully vested and have no expiration date. |
(7) | Common Units were transferred from the Trust to the Reporting Person individually, in a transaction exempted by Rule 16a-13. |
(8) | Represents Common Units held by the Trust. |
Reporting Owners
|
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
WHITSON CLAY M 40 BURTON HILLS BLVD. SUITE 415 NASHVILLE, TN 37215 | X |
| Chief Financial Officer |
|
Signatures
|
/s/ Paul Maple, Attorney-in-Fact for Clay M. Whitson | | 12/18/2020 |
**Signature of Reporting Person | Date |
i3 Verticals (NASDAQ:IIIV)
Historical Stock Chart
From Apr 2024 to May 2024
i3 Verticals (NASDAQ:IIIV)
Historical Stock Chart
From May 2023 to May 2024