FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 10/15/2015 |
3. Issuer Name and Ticker or Trading Symbol
OUTERWALL INC [ OUTR ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock, $0.001 par value per share | 841,916 | I | See Footnotes(1)(2)(3) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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: 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 | ||||
Equity Options | 10/15/2015 | 10/16/2015 | Common Stock, $0.001 par value per share | 600,000 | $125 | I | See Footnotes(1)(2)(3) |
Equity Options | 10/15/2015 | 01/15/2016 | Common Stock, $0.001 par value per share | 500,000 | $70 | I | See Footnotes(1)(2)(3) |
Explanation of Responses: |
1. Park West Asset Management LLC ("PWAM") is the investment manager to Park West Investors Master Fund, Limited, a Cayman Islands exempted company ("PWIMF"), and Park West Partners International, Limited, a Cayman Islands exempted company ("PWPI" and, collectively with PWIMF, the "PW Funds"), Peter S. Park ("Mr. Park") is the sole member and manager of PWAM (the "Reporting Person"). |
2. On October 15, 2015, the date of the event which requires the filing of this statement (the "Reporting Date"), PWIMF held (i) 741,638 shares of common stock, par value $0.001 per share ("Common Stock"), and (ii) options to purchase 969,900 shares of Common Stock exercisable within sixty days of the Reporting Date and PWPI held (i) 100,278 shares of Common Stock and (ii) options to purchase 130,100 shares of Common Stock exercisable within sixty days of the Reporting Date, and thus the Reporting Person and Mr. Park may be deemed to beneficially own (i) 841,916 shares of Common Stock and (ii) options to purchase 1,100,000 shares of Common Stock exercisable within sixty days of the Reporting Date held in the aggregate by the PW Funds. |
3. As a result of the foregoing, for purposes of Reg. Section 240.13d-3, the Reporting Person and Mr. Park may be deemed to beneficially own 841,916 shares of Common Stock and options to purchase 1,100,000 shares of Common Stock exercisable within sixty days of the Reporting Date, or 10.1% of the shares of Common Stock deemed to be issued and outstanding as of the Reporting Date. |
Remarks: |
The Common Stock and options to purchase Common Stock reported herein represent securities (the "Securities") held by the PW Funds. Pursuant to Reg. Section 240.16a-1(a)(2), the Reporting Person's and Mr. Park's beneficial ownership is limited to their pecuniary interest, if any, in such Securities. |
/s/ Grace Jimenez, Chief Financial Officer of Park West Asset Management LLC | 10/26/2015 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |