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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) |
7. Title and Amount of Underlying Securities (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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Restricted Stock Units | (1) | 07/21/2014 | A | 26,162 (2) | (3) | (3) | Common Stock | 26,162 | $ 0 | 26,162 | D | ||||
Stock Option (right to buy) | $ 34.4 | 07/21/2014 | A | 36,269 | (4) | 07/21/2024 | Common Stock | 36,269 | $ 0 | 36,269 | D | ||||
Restricted Stock Units | (1) | 07/21/2014 | A | 66,860 | (5) | (5) | Common Stock | 66,860 | $ 0 | 66,860 | D | ||||
Restricted Stock Units | (1) | 07/21/2014 | A | 29,069 | (6) | (6) | Common Stock | 29,069 | $ 0 | 29,069 | D | ||||
Restricted Stock Units | (1) | 07/21/2014 | A | 29,069 | (7) | (7) | Common Stock | 29,069 | $ 0 | 29,069 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Anderson Joel D C/O FIVE BELOW INC. 1818 MARKET STREET, SUITE 2000 PHILADELPHIA, PA 19103 |
President and COO |
/s/ Maureen Mulligan, as Attorney-In-Fact for Joel D. Anderson | 07/23/2014 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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) | Each restricted stock unit represents the contingent right to receive one share of Five Below, Inc.'s common stock. |
(2) | The number reflected in Table II above represents the maximum number of shares the reporting person is eligible to receive pursuant to the restricted stock unit award, which provides that the reporting person is eligible to receive from 0%-150% of the target number of performance restricted stock awards, 17,441. The restricted stock units earned will be interpolated proportionately to determine the number of shares deliverable for any attainment of the performance goal that is between the applicable threshold and the target levels or between the target and the maximum levels. |
(3) | The restricted stock units vest at the end of a three-year period subject to the Company's achievement of specified adjusted operating income. |
(4) | 50% of the option grant will vest and become exercisable two years after the grant date, July 21, 2014, and the remaining 50% will vest and become exercisable in 25% increments on the third and fourth anniversaries of the grant date, subject to the reporting person's continued employment. |
(5) | 1/3rd of the restricted stock units will vest on January 1, 2015; an additional 1/3rd of the restricted stock units will vest on the earlier of (A) the later of (i) October 1, 2015 or (ii) 30 days after the reporting person relocates his permanent residence to the greater Philadelphia, PA metropolitan area, and (B) January 1, 2016; and the remaining 1/3rd of restricted stock units will vest on January 1, 2016, subject to the reporting person's continued employment. |
(6) | 50% of the restricted stock units will vest on each of February 3, 2018 and February 2, 2019 based on the attainment of an earnings growth measure performance goal for the Company's 2017 and 2018 fiscal years, respectively, to be established by the Compensation Committee no later than the first anniversary of the grant date, July 21, 2014, subject to the reporting person's continued employment. |
(7) | 50% of the restricted stock units will vest on December 1, 2017 and the remaining 50% will vest on December 1, 2018, subject to the reporting person's continued employment. |