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 of Derivative Security: 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 Option (right to buy)
(5)
|
Â
(6)
|
01/02/2023 |
Common Stock
|
1,907
|
$
13.64
|
D
|
Â
|
Stock Option (right to buy)
(7)
|
Â
(6)
|
02/26/2023 |
Common Stock
|
1,598
|
$
16.48
|
D
|
Â
|
Stock Option (right to buy)
(8)
|
Â
(9)
|
02/24/2024 |
Common Stock
|
1,308
|
$
20.08
|
D
|
Â
|
* |
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). |
(1) |
Represents the number of shares of common stock issuable upon vesting of 409 time-based RSUs that were granted on February 26, 2013, which vest on the third anniversary of the grant date. |
(2) |
Represents the number of shares of common stock issuable upon vesting of the remaining 317 time-based RSUs that were granted on February 24, 2014, which vest on the second and third anniversary of the grant date. |
(3) |
Represents the target number of shares of common stock eligible to be issued upon vesting of 316 performance-based RSUs that were granted on February 24, 2014. Up to 100% of the performance-based RSUs vest upon achieving certain revenue targets from "self-service" transactions for the three years ending Dec. 31, 2016. The performance-based RSUs are subject to a threshold requirement for a minimum amount of "self-service" revenue. |
(4) |
Represents the number of shares of common stock issuable upon vesting of 4,552 time-based RSUs and the target number of shares of common stock eligible to be issued upon vesting of 4,552 performance-based RSUs that were granted on February 25, 2015. The time-based RSUs vest in 3 equal installments on each anniversary of the grant date. The performance-based RSUs vest in three equal installments on each anniversary of the grant date if certain performance goals are achieved, with up to 50% of the performance-based RSUs vesting over such three year period if a target level of Adjusted EBITDA is achieved for the year ended December 31, 2015 and up to 50% of the performance-based RSUs vesting over such three year period if a target level of self-service revenue is achieved for the year ended December 31, 2015. No performance-based RSUs will vest unless the threshold level of Adjusted EBITDA is achieved. |
(5) |
Non-qualified stock option granted pursuant to the MoneyGram International, Inc. 2005 Omnibus Incentive Plan, as amended, pursuant to a Stock Option Agreement dated January 2, 2013. |
(6) |
Options vest in four equal installments over four years on each anniversary of the grant date. |
(7) |
Non-qualified stock option granted pursuant to the MoneyGram International, Inc. 2005 Omnibus Incentive Plan, as amended, pursuant to a Stock Option Agreement dated February 26, 2013. |
(8) |
Non-qualified stock option granted pursuant to the MoneyGram International, Inc. 2005 Omnibus Incentive Plan, as amended, pursuant to a Stock Option Agreement dated February 24, 2014. |
(9) |
Options vest in three equal installments over three years on each anniversary of the grant date. |