0001273931-21-000012.txt : 20210129 0001273931-21-000012.hdr.sgml : 20210129 20210129174615 ACCESSION NUMBER: 0001273931-21-000012 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210104 FILED AS OF DATE: 20210129 DATE AS OF CHANGE: 20210129 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chytil Kamila K CENTRAL INDEX KEY: 0001674338 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-31950 FILM NUMBER: 21573191 MAIL ADDRESS: STREET 1: 2828 N. HARWOOD STREET STREET 2: 15TH FLOOR CITY: DALLAS STATE: TX ZIP: 75201 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MONEYGRAM INTERNATIONAL INC CENTRAL INDEX KEY: 0001273931 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 161690064 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2828 N. HARWOOD STREET, 15TH FLOOR CITY: DALLAS STATE: TX ZIP: 75201 BUSINESS PHONE: 2149997640 MAIL ADDRESS: STREET 1: 2828 N. HARWOOD STREET, 15TH FLOOR CITY: DALLAS STATE: TX ZIP: 75201 4/A 1 wf-form4a_161196036029048.xml FORM 4/A X0306 4/A 2021-01-04 2021-01-05 0 0001273931 MONEYGRAM INTERNATIONAL INC MGI 0001674338 Chytil Kamila K 2828 NORTH HARWOOD STREET 15TH FLOOR DALLAS TX 75201 0 1 0 0 Chief Operating Officer Common Stock 2021-01-04 4 A 0 23452 0 A 842809 D This Form 4/A amends the Form 4 filed on January 5, 2021 for the reporting person (the "Original Form 4"). Due to an administrative error, the grant date reported in Box 3 and in Table I - Column 3, and the vesting date in the footnote to Column 4 of Table I were incorrect. The number of shares reported for the transaction and the total number of shares reported as beneficially owned in Column 5 of the Original Form 4 were correct. This amendment reflects the corrected dates. Represents the number of time-based RSUs granted on January 4, 2021. The time-based RSUs will vest in full on January 4, 2022. /s/ Jennifer L. Brevelle, attorney-in-fact for Kamila K. Chytil 2021-01-29