0000950142-21-001281.txt : 20210413 0000950142-21-001281.hdr.sgml : 20210413 20210413170107 ACCESSION NUMBER: 0000950142-21-001281 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210409 FILED AS OF DATE: 20210413 DATE AS OF CHANGE: 20210413 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tolston Alex J CENTRAL INDEX KEY: 0001575999 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35886 FILM NUMBER: 21823593 MAIL ADDRESS: STREET 1: C/O HEMISPHERE MEDIA GROUP, INC. STREET 2: 2000 PONCE DE LEON BLVD., SUITE 500 CITY: CORAL GABLES STATE: FL ZIP: 33134 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HEMISPHERE MEDIA GROUP, INC. CENTRAL INDEX KEY: 0001567345 STANDARD INDUSTRIAL CLASSIFICATION: CABLE & OTHER PAY TELEVISION SERVICES [4841] IRS NUMBER: 800885255 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4000 PONCE DE LEON BLVD., SUITE 650 CITY: CORAL GABLES STATE: FL ZIP: 33146 BUSINESS PHONE: 305-421-6364 MAIL ADDRESS: STREET 1: 4000 PONCE DE LEON BLVD., SUITE 650 CITY: CORAL GABLES STATE: FL ZIP: 33146 4 1 es210143979_4-tolston.xml OWNERSHIP DOCUMENT X0306 4 2021-04-09 0 0001567345 HEMISPHERE MEDIA GROUP, INC. HMTV 0001575999 Tolston Alex J C/O HEMISPHERE MEDIA GROUP, INC. 4000 PONCE DE LEON BLVD., SUITE 650 CORAL GABLES FL 33146 0 1 0 0 EVP, CLO & Corp. Sec'y CLASS A COMMON STOCK 2021-04-09 4 F 0 5460 12.78 D 69387 D In accordance with the Hemisphere Media Group, Inc. (the "Company") Amended and Restated 2013 Equity Incentive Plan (the "Plan"), the Reporting Person returned shares of the Company's Class A common stock, par value $0.0001 per share ("Class A common stock") to the Company for the purpose of paying the Reporting Person's withholding taxes due upon the vesting of restricted shares of Class A common stock previously awarded to the Reporting Person under the Plan. The disposition is exempt in accordance with Rule 16b-3. The fair market value of the Class A common stock at the close of trading on April 9, 2021, the date of vesting, was used to calculate the number of shares deducted to satisfy the Reporting Person's tax withholding obligations. Of these shares, 14,166 are restricted securities and will vest, subject to certain exceptions, on the third anniversary of April 9, 2019. /s/ Alex J. Tolston 2021-04-13