0001082923-21-000163.txt : 20211007 0001082923-21-000163.hdr.sgml : 20211007 20211007140924 ACCESSION NUMBER: 0001082923-21-000163 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211005 FILED AS OF DATE: 20211007 DATE AS OF CHANGE: 20211007 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Samuels Theodore R. II CENTRAL INDEX KEY: 0001688276 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26427 FILM NUMBER: 211312072 MAIL ADDRESS: STREET 1: 1990 E. GRAND AVE. CITY: EL SEGUNDO STATE: CA ZIP: 90245 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: STAMPS.COM INC CENTRAL INDEX KEY: 0001082923 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 770454966 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1990 E. GRAND AVE CITY: EL SEGUNDO STATE: CA ZIP: 90245 BUSINESS PHONE: 3104825800 MAIL ADDRESS: STREET 1: 1990 E. GRAND AVE CITY: EL SEGUNDO STATE: CA ZIP: 90245 FORMER COMPANY: FORMER CONFORMED NAME: STAMPS COM INC DATE OF NAME CHANGE: 19990421 4 1 wf-form4_163363015136137.xml FORM 4 X0306 4 2021-10-05 1 0001082923 STAMPS.COM INC STMP 0001688276 Samuels Theodore R. II 1990 E. GRAND AVENUE EL SEGUNDO CA 90245 1 0 0 0 Common Stock 2021-10-05 4 D 0 1000 330 D 0 I By Ted and Lori Samuels Family Trust dtd 7/3/96 Stock option (right to buy) 115.9 2021-10-05 4 D 0 5000 214.10 D 2017-01-04 2027-01-04 Common Stock 5000.0 0 D Stock option (right to buy) 145.15 2021-10-05 4 D 0 5000 184.85 D 2017-06-14 2027-06-14 Common Stock 5000.0 0 D Stock option (right to buy) 266.95 2021-10-05 4 D 0 5000 63.05 D 2018-06-11 2028-06-11 Common Stock 5000.0 0 D Stock option (right to buy) 38.7 2021-10-05 4 D 0 5000 291.30 D 2019-06-12 2029-06-12 Common Stock 5000.0 0 D Stock option (right to buy) 183.9 2021-10-05 4 D 0 5000 146.10 D 2020-06-10 2030-06-10 Common Stock 5000.0 0 D Stock option (right to buy) 191.56 2021-10-05 4 D 0 5000 138.44 D 2021-06-09 2031-06-09 Common Stock 5000.0 0 D The securities were disposed of in connection with the acquisition of the Issuer by an affiliate of Thoma Bravo LP (the "Merger"). The reporting person disclaims beneficial ownership of the shares held by the Ted and Lori Samuels Family Trust, dated July 3, 1996, except to the extent of his pecuniary interest therein. This option, which had previously fully vested, was canceled in the Merger in exchange for a cash payment of $1,070,500, representing the difference between the exercise price of the options and the market value of the underlying Stamps.com common stock at the effective time of the Merger ($330 per share). This option, which had previously fully vested, was canceled in the Merger in exchange for a cash payment of $924,250, representing the difference between the exercise price of the options and the market value of the underlying Stamps.com common stock at the effective time of the Merger ($330 per share). This option, which had previously fully vested, was canceled in the Merger in exchange for a cash payment of $315,250, representing the difference between the exercise price of the options and the market value of the underlying Stamps.com common stock at the effective time of the Merger ($330 per share). This option, which had previously fully vested, was canceled in the Merger in exchange for a cash payment of $1,456,500, representing the difference between the exercise price of the options and the market value of the underlying Stamps.com common stock at the effective time of the Merger ($330 per share). This option, which had previously fully vested, was canceled in the Merger in exchange for a cash payment of $730,500, representing the difference between the exercise price of the options and the market value of the underlying Stamps.com common stock at the effective time of the Merger ($330 per share). This option, which had previously fully vested, was canceled in the Merger in exchange for a cash payment of $692,200, representing the difference between the exercise price of the options and the market value of the underlying Stamps.com common stock at the effective time of the Merger ($330 per share). /s/ David M. Zlotchew, by power of attorney for Theodore R. Samuels 2021-10-07