0001209191-16-149197.txt : 20161109 0001209191-16-149197.hdr.sgml : 20161109 20161109213547 ACCESSION NUMBER: 0001209191-16-149197 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161107 FILED AS OF DATE: 20161109 DATE AS OF CHANGE: 20161109 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BLACKBAUD INC CENTRAL INDEX KEY: 0001280058 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 112617163 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2000 DANIEL ISLAND DRIVE CITY: CHARLESTON STATE: SC ZIP: 24992-7541 BUSINESS PHONE: 843-216-6200 MAIL ADDRESS: STREET 1: 2000 DANIEL ISLAND DRIVE CITY: CHARLESTON STATE: SC ZIP: 24992-7541 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cumbaa Charles T CENTRAL INDEX KEY: 0001294987 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50600 FILM NUMBER: 161985710 MAIL ADDRESS: STREET 1: BLACKBAUD INC STREET 2: 2000 DANIEL ISLAND DRIVE CITY: CHARLESTON STATE: SC ZIP: 29492 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-11-07 0 0001280058 BLACKBAUD INC BLKB 0001294987 Cumbaa Charles T 2000 DANIEL ISLAND DRIVE CHARLESTON SC 29492 0 1 0 0 EVP Corp. & Prod. Strategy Common Stock 2016-11-07 4 F 0 1305 58.83 D 62002 D Common Stock 2016-11-07 4 F 0 1590 58.83 D 60412 D Common Stock 2100 I By Chelsea Michelle Cumbaa Irrevocable Trust Common Stock 2100 I By Alexander Thomas Cumbaa Irrevocable Trust Performance Stock Appreciation Right 22.24 2019-11-05 Common Stock 86358 86358 D Represents shares forfeited to the Issuer in connection with the satisfaction of tax liabilities incurred upon the vesting of restricted stock granted November 6, 2012. Represents shares forfeited to the Issuer in connection with the satisfaction of tax liabilities incurred upon the vesting of restricted stock granted November 6, 2013. Represents a performance stock appreciation right ("PSAR") which vested in four equal annual installments beginning on November 6, 2013 since the Issuer maintained a 25% increase in its stock price over $22.24 for 30 consecutive days prior to November 6, 2013. The PSARs shall be settled in stock at the time of exercise. /s/ Donald R. Reynolds, Attorney-in-Fact 2016-11-09