SEC Form 3
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*
Robb Karl

(Last) (First) (Middle)
C/O EPAM SYSTEMS, INC.
41 UNIVERSITY DRIVE, SUITE 202

(Street)
NEWTOWN PA 18940

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/07/2012
3. Issuer Name and Ticker or Trading Symbol
EPAM Systems, Inc. [ EPAM ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Pres. of EU Operations, EVP
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
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 194,800 D (1)
Common Stock 725,824 I By Landmark Business Development Limited
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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
Employee Stock Option (right to buy) (2) 08/13/2020 Common Stock 160,000 4.63 D
Explanation of Responses:
1. Represents shares of restricted stock granted on January 16, 2012. These shares vested 25% on January 16, 2012 and will vest 25% on each of January 1, 2013, 2014 and 2015.
2. The options became exercisable as to 25% of the shares on each of January 1, 2011 and 2012 and will become exercisable as to 25% of the shares on each of January 1, 2013 and 2014.
Remarks:
/s/ Ginger Mosier, as Attorney-in-Fact 02/07/2012
** 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.
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