SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Marquez Octavio

(Last) (First) (Middle)
C/O DIEBOLD NIXDORF, INCORPORATED
50 EXECUTIVE PKWY

(Street)
HUDSON OH 44236

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
DIEBOLD NIXDORF, Inc [ DBD ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President and CEO
3. Date of Earliest Transaction (Month/Day/Year)
08/11/2023
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Shares 08/11/2023 J(1) 338,914 D $0.00 0 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Non-Qualified Stock Option(2) $34.13 08/11/2023 J(1) 15,885 02/11/2015 02/11/2024 Common Shares 15,885 $0.00 0 D
Non-Qualified Stock Option(2) $32.33 08/11/2023 J(1) 22,735 02/05/2016 02/05/2025 Common Shares 22,735 $0.00 0 D
Non-Qualified Stock Option(2) $27.39 08/11/2023 J(1) 16,388 02/03/2017 02/03/2026 Common Shares 16,388 $0.00 0 D
Non-Qualified Stock Option(3) $26.6 08/11/2023 J(1) 37,996 02/08/2018 02/08/2027 Common Shares 37,996 $0.00 0 D
Non-Qualified Stock Option(3) $18.75 08/11/2023 J(1) 19,786 02/01/2019 02/01/2028 Common Shares 19,786 $0.00 0 D
Non-Qualified Stock Option(3) $4.08 08/11/2023 J(1) 33,843 01/29/2020 01/29/2029 Common Shares 33,843 $0.00 0 D
Non-Qualified Stock Option(3) $11.96 08/11/2023 J(1) 9,372 01/30/2021 01/30/2030 Common Shares 9,372 $0.00 0 D
Explanation of Responses:
1. Pursuant to the Second Amended Joint Prepackaged Chapter 11 Plan of Reorganization of Diebold Holding Company, LLC and its Debtor Affiliates as revised July 7, 2023 (the "Plan of Reorganization") approved by the issuer's board of directors and confirmed by the United States Bankruptcy Court for the Southern District of Texas, all of the issuer's common shares were cancelled and extinguished on August 11, 2023, the effective date of the Plan of Reorganization, and any rights of any holder in respect thereof were cancelled without any recovery.
2. Granted under the 1991 Equity and Performance Incentive Plan; option is generally exercisable in annual increments of 1/3, 1/3, 1/3 beginning one year from the date of grant.
3. Granted under the 2017 Equity and Performance Incentive Plan; option is generally exercisable in annual increments of 1/3, 1/3, 1/3 beginning one year from the date of grant.
Remarks:
/s/ Jonathan B. Leiken, Attorney-in-fact for Octavio Marquez 08/11/2023
** 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 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).
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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