Statement of Changes in Beneficial Ownership (4)
06 Septembre 2019 - 8:19PM
Edgar (US Regulatory)
FORM 4
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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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3235-0287
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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
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WOODS M TROY |
2. Issuer Name and Ticker or Trading Symbol
TOTAL SYSTEM SERVICES INC
[
TSS
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chairman and CEO
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(Last)
(First)
(Middle)
P. O. BOX 2506 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
9/5/2019
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(Street)
COLUMBUS, GA 31902-2506
(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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9/5/2019
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M
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141236
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A
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$38.20
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457485 (1)
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D
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Common Stock
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9/5/2019
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S
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70618 (2)
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D
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$141.353 (2)
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386867
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D
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Common Stock
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9/5/2019
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S
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70618 (3)
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D
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$140.863 (3)
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316249
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D
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Common Stock
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39623
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I
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Family Trust
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Common Stock
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2180 (4)
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I
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Spouse
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Common Stock
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12820
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I
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Trust
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Common Stock
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60503 (1)
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I
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Grantor retained annuity trust 4 2018
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Common Stock
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100000
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I
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Grantor retained annuity trust 12 2018
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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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Employee stock options (right to buy)
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$38.20
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9/5/2019
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A
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141236
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2/27/2016 (5)
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2/26/2025
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Common Stock
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141236
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$0
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0
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D
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Explanation of Responses:
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(1)
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Since the reporting person's most recent Form 4 report, the form of ownershp of 39,497 shares changed when they were transferred for no consideration from the reporting person's grantor retained annuity trust to the reporting person. These shares are included in the total number of shares reported in this Form 4 as directly owned. The total number of directly owned shares also includes shares that have been acquired through dividend reinvestment since the reporting person's last Form 4.
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(2)
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The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $141.16 to $141.92, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnotes 2 and 3 to this Form 4.
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(3)
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The price reported in Column is a weighted average price. These shares were sold in multiple transactions at prices ranging from $140.66 to $141.58, inclusive.
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(4)
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The total number of shares held by the reporting person's spouse has been corrected. Previously, the reporting person's Form 4 reports have inadvertently overreported his spouse's share ownership by 99 shares.
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(5)
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These employee stock options were originally granted on February 27, 2015. The option grant provided for vesting in three equal annual installments on February 27, 2016, February 27, 2017 and February 27, 2018.
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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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WOODS M TROY P. O. BOX 2506 COLUMBUS, GA 31902-2506
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X
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Chairman and CEO
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Signatures
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Garilou Page, Attorney-in-Fact
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9/6/2019
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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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