0001140361-11-050304.txt : 20111025 0001140361-11-050304.hdr.sgml : 20111025 20111025165342 ACCESSION NUMBER: 0001140361-11-050304 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111017 FILED AS OF DATE: 20111025 DATE AS OF CHANGE: 20111025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: USA TECHNOLOGIES INC CENTRAL INDEX KEY: 0000896429 STANDARD INDUSTRIAL CLASSIFICATION: CALCULATING & ACCOUNTING MACHINES (NO ELECTRONIC COMPUTERS) [3578] IRS NUMBER: 232679963 STATE OF INCORPORATION: PA FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 100 DEERFIELD LANE STREET 2: SUITE 140 CITY: MALVERN STATE: PA ZIP: 19355 BUSINESS PHONE: 6109890340 MAIL ADDRESS: STREET 1: 100 DEERFIELD LANE STREET 2: SUITE 140 CITY: MALVERN STATE: PA ZIP: 19355 FORMER COMPANY: FORMER CONFORMED NAME: USA ENTERTAINMENT CENTER INC DATE OF NAME CHANGE: 19931029 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HERBERT STEPHEN P CENTRAL INDEX KEY: 0001202182 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33365 FILM NUMBER: 111157155 MAIL ADDRESS: STREET 1: 20 BRIAR ROAD CITY: STRAFFORD STATE: PA ZIP: 19087 4 1 doc1.xml FORM 4 X0304 4 2011-10-17 0 0000896429 USA TECHNOLOGIES INC USAT 0001202182 HERBERT STEPHEN P 100 DEERFIELD LN SUITE 140 MALVERN X1 19355 1 1 0 0 President & Interim CEO Common Stock 2011-10-17 4 F 0 7525 1.20 D 285158 D Common Stock 32010 I By Child Common Stock 27440 I By Spouse Non-Qualified Stock Option (Right to Buy) 7.5 Common Stock 12000 12000 D Represents a portion of the shares issued to Mr. Herbert in connection with the execution of the First Amendment to his Employment and Non-Competition Agreement dated April 14, 2011, that were cancelled in order to satisfy tax withholding obligations. The Options may be exercised at any time within 5 years of vesting. The options vested as follows: 6,000 on 6/30/07, and 6,000 on 6/30/08. /s/ Stephen P. Herbert 2011-10-25