0001140361-16-079826.txt : 20160914 0001140361-16-079826.hdr.sgml : 20160914 20160914172944 ACCESSION NUMBER: 0001140361-16-079826 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160914 FILED AS OF DATE: 20160914 DATE AS OF CHANGE: 20160914 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: 1231 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: Reilly William J. Jr. CENTRAL INDEX KEY: 0001554542 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33365 FILM NUMBER: 161885858 MAIL ADDRESS: STREET 1: 1280 SOUTH CONCORD ROAD CITY: WEST CHESTER STATE: PA ZIP: 19382 4 1 doc1.xml FORM 4 X0306 4 2016-09-14 0 0000896429 USA TECHNOLOGIES INC USAT 0001554542 Reilly William J. Jr. 1280 SOUTH CONCORD ROAD WEST CHESTER PA 19382 1 0 0 0 Common Stock 2016-09-14 4 P 0 1000 4.91 A 84197 D Common Stock 100 I By Child Series A Convertible Preferred Stock Common Stock 97 500 D Non-Qualified Stock Option (Right to Buy) 2.05 2021-06-18 Common Stock 20000 20000 D This transaction was executed in multiple trades at prices ranging from $4.9006 to $4.939. The price set forth above reflects the weighted-average price per share. Mr. Reilly hereby undertakes to provide, upon request, to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transactions were effected. As of April 25, 2016, each share of series A convertible preferred stock was convertible into 0.1940 of a share of common stock at the option of the holder and is subject to further adjustment as provided in the Articles of Incorporation. The shares do not have an expiration date. The options vested or vest as follows: 6,667 on 6/18/15; 6,667 on 6/18/16; and 6,666 on 6/18/17. /s/ William J. Reilly, Jr. 2016-09-14