Statement of Changes in Beneficial Ownership (4)
04 April 2020 - 7:41AM
Edgar (US Regulatory)
FORM 4
[X]
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
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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
*
Roberts Rama |
2. Issuer Name and Ticker or Trading Symbol
Telaria, Inc.
[
TLRA
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chief Technology Officer |
(Last)
(First)
(Middle)
C/O TELARIA, INC., 222 BROADWAY, 16TH FLOOR |
3. Date of Earliest Transaction
(MM/DD/YYYY)
4/1/2020 |
(Street)
NEW YORK, NY 10038
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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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)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 4/1/2020 | | D | | 29203 | D | (1) | 0 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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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) | $3.90 | 4/1/2020 | | D | | | 10028 | (2) | 2/27/2028 | Common Stock | 10028 | $0.00 | 0 | D | |
Stock Option (Right to Buy) | $4.27 | 4/1/2020 | | D | | | 40000 | (2) | 12/5/2023 | Common Stock | 40000 | $0.00 | 0 | D | |
Stock Option (Right to Buy) | $3.90 | 4/1/2020 | | D | | | 67797 | (2) | 2/27/2028 | Common Stock | 67797 | $0.00 | 0 | D | |
Stock Option (Right to Buy) | $5.58 | 4/1/2020 | | D | | | 93014 | (2) | 2/28/2029 | Common Stock | 93014 | $0.00 | 0 | D | |
Restricted Stock Unit (3) | $0.00 | 4/1/2020 | | D | | | 5000 | (4) | (4) | Common Stock | 5000 | $0.00 | 0 | D | |
Restricted Stock Unit (3) | $0.00 | 4/1/2020 | | D | | | 73924 | (4) | (4) | Common Stock | 73924 | $0.00 | 0 | D | |
Explanation of Responses: |
(1) | On April 1, 2020, the effective date (the "Effective Date") of the merger between the Issuer and The Rubicon Project, Inc. ("Rubicon"), each share of Issuer common stock was exchanged for 1.082 shares of Rubicon common stock. |
(2) | These options were assumed by Rubicon pursuant to the merger agreement on the Effective Date with the same vesting and other terms at the rate of 1.082 Rubicon options for each Issuer option, rounded down to the nearest whole share, and with an exercise price per share of each Rubicon option equal to the exercise price herein divided by 1.082, rounded up to the nearest cent. |
(3) | Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. |
(4) | On the Effective Date, pursuant to the merger agreement, restricted stock units were assumed by Rubicon, with the same vesting and other terms, at an exchange ratio of 1.082 Rubicon restricted stock units for each Issuer restricted stock unit reported herein, rounded down to the nearest whole share. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Roberts Rama C/O TELARIA, INC. 222 BROADWAY, 16TH FLOOR NEW YORK, NY 10038 |
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| Chief Technology Officer |
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Signatures
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/s/ Aaron Saltz, Attorney-in-Fact | | 4/3/2020 |
**Signature of Reporting Person | Date |
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