0001209191-11-059061.txt : 20111202
0001209191-11-059061.hdr.sgml : 20111202
20111202143907
ACCESSION NUMBER: 0001209191-11-059061
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20111130
FILED AS OF DATE: 20111202
DATE AS OF CHANGE: 20111202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Omsberg Keith S
CENTRAL INDEX KEY: 0001429423
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33475
FILM NUMBER: 111239902
MAIL ADDRESS:
STREET 1: 10780 PARKRIDGE BLVD
STREET 2: SUITE 400
CITY: RESTON
STATE: VA
ZIP: 20191
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TIER TECHNOLOGIES INC
CENTRAL INDEX KEY: 0001045150
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373]
IRS NUMBER: 943145844
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0310
BUSINESS ADDRESS:
STREET 1: 11130 SUNRISE VALLEY DRIVE
STREET 2: SUITE 300
CITY: RESTON
STATE: VA
ZIP: 20191
BUSINESS PHONE: 5713821000
MAIL ADDRESS:
STREET 1: 11130 SUNRISE VALLEY DRIVE
STREET 2: SUITE 300
CITY: RESTON
STATE: VA
ZIP: 20191
4
1
doc4.xml
FORM 4 SUBMISSION
X0304
4
2011-11-30
0
0001045150
TIER TECHNOLOGIES INC
TIER
0001429423
Omsberg Keith S
11130 SUNRISE VALLEY DRIVE
SUITE 300
RESTON
VA
20191
0
1
0
0
Corp Secretary
Stock Option
3.47
2011-11-30
4
A
0
25000
0.00
A
2021-11-29
Common Stock
25000
25000
D
Options vest as to 25% on the first anniversary of the date of grant and as to an additional 1/48 in each succeeding month.
Exhibit 24.1 Power of Attorney
/s/ Jack Browne Attorney-in-fact
2011-12-02
EX-24.4_399322
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS, that the undersigned hereby constitutes and
appoints each of JEFF HODGES, JACK BROWNE, AND KEITH OMSBERG, signing
individually, as the undersigned's true and lawful attorney-in fact and agent
to:
(1) execute for and on behalf of the undersigned, an officer or director of Tier
Technologies, Inc. (the "Company"), Forms 3, 4, and 5 in accordance with Section
16(a) of the Securities Exchange Act of 1934, as amended (the "Exchange Act"),
and the rules thereunder;
(2) do and perform any and all acts for and on behalf of the undersigned that
may be necessary or desirable to complete and execute such Form 3, 4 or 5,
complete and execute any amendment or amendments thereto, and timely file such
forms or amendments with the U.S. Securities and Exchange Commission and any
stock exchange or similar authority; and
(3) take any other action of any nature whatsoever in connection with the
foregoing, which in the opinion of such attorney-in-fact may be of benefit, in
the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Exchange Act, and the undersigned hereby agrees to
indemnify and hold harmless each of the attorneys-in-fact and the Company from
any liabilities or damages that arise out of the performance or failure to
perform any of the actions described herein.
This Power of Attorney shall remain in full force and effect until the earlier
to occur of (a) the undersigned is no longer required to file Forms 3, 4 and 5
with respect to the undersigned's holding of and transactions in securities
issued by the Company, (b) revocation by the undersigned in a signed writing
delivered to the foregoing attorneys-in-fact or (c) as to any attorney-in-fact
individually, until such attorney-in-fact shall no longer be employed by the
Company.
In Witness Whereof, the undersigned has cause this Power of Attorney to be
executed as of this 30th day of November, 2011.
/s/ Keith S. Omsberg
Signature
Keith S. Omsberg
Print Name
AUTHORIZATION LETTER
By means of this letter, I authorize JEFF HODGES, JACK BROWNE AND KEITH OMSBERG,
or any of them individually, to sign on my behalf all forms required under
Section 16(a) of the Securities Exchange Act of 1934, as amended, relating to
transactions involving the stock or derivative securities of Tier Technologies,
Inc. (the "Company"). Any of these individuals is accordingly authorized to sign
any Form 3, Form 4, Form 5 or amendment thereto which I am required to file with
the same effect as if I had signed it myself.
This authorization shall remain in effect until revoked in writing by me.
Yours truly,
/s/ Keith S. Omsberg
Signature
Keith S. Omsberg
Print name
November 30, 2011
Date