- Statement of Changes in Beneficial Ownership (4)
28 9월 2011 - 5:30AM
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).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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November 30, 2011
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public
Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
COPPOLA SHANE
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2. Issuer Name
and
Ticker or Trading Symbol
GLOBAL TRAFFIC NETWORK, INC.
[
GNET
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
AMERICAN SKATING CENTERS, LLC, 91 FAIRVIEW PARK DRIVE
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3. Date of Earliest Transaction
(MM/DD/YYYY)
9/23/2011
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(Street)
ELMSFORD, NY 10523
(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
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9/23/2011
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U
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40001
(1)
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D
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$14
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29999
(2)
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D
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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)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Stock Options (right to buy)
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$5.14
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(3)
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6/19/2016
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Common Stock
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50000
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50000
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D
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Explanation of Responses:
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(
1)
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Represents shares of common stock that were tendered to GTCR Gridlock Acquisition Sub, Inc., a Nevada corporation ("Purchaser") pursuant to Purchaser's offer to purchase all outstanding shares of Global Traffic Network, Inc., a Nevada corporation (the "Issuer"), at a purchase price of $14.00 per share, net to the seller in cash, without interest and less any required withholding taxes, subject to the terms described in the Offer to Purchase, filed with the SEC on August 9, 2011, as amended and supplemented (the "Tender Offer").
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(
2)
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Includes restricted stock, with restrictions that lapse with respect to 6,666 shares on February 26, 2012; with respect to 6,667 shares on March 3, 2012, and with respect to 6,666 shares on March 3, 2013; and with respect to 3,334 shares on March 1, 2012 and with respect to 3,333 shares on each of March 1, 2013 and March 1, 2014.
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(
3)
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16,667 shares vested on each of 6/19/07 and 6/19/08; 16,666 shares vested on 6/19/09.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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COPPOLA SHANE
AMERICAN SKATING CENTERS, LLC
91 FAIRVIEW PARK DRIVE
ELMSFORD, NY 10523
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X
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Signatures
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/s/ Shane Coppola
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9/27/2011
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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 control number.
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Global Traffic Network (NASDAQ:GNET)
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