-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, AadV07pTZ9/gZeDB8uBvb+0j1EXeU7UVzpaSZ0s313qMu/5HWcd9JDj3+IxcVkBA etA0AbHj93etb3RDqwSy0A== 0001188112-09-002107.txt : 20091001 0001188112-09-002107.hdr.sgml : 20091001 20091001091134 ACCESSION NUMBER: 0001188112-09-002107 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091001 FILED AS OF DATE: 20091001 DATE AS OF CHANGE: 20091001 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: JENSEN GEORGE R JR CENTRAL INDEX KEY: 0001202180 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33365 FILM NUMBER: 091097218 MAIL ADDRESS: STREET 1: 517 LEGION RD CITY: WEST CHESTER STATE: PA ZIP: 19382 4 1 edgar.xml PRIMARY DOCUMENT X0303 4 2009-10-01 0000896429 USA TECHNOLOGIES INC USAT 0001202180 JENSEN GEORGE R JR 100 DEERFIELD LN SUITE 140 MALVERN PA 19355 1 1 0 0 CEO Common Stock 2009-10-01 4 A 0 30000 0 A 95802 D Common Stock 2009-10-01 4 G 0 30000 0 D 65802 D Common Stock 35429 I By Trust Common Stock 2000 I By Spouse Warrants 2.20 2010-01-01 2011-12-31 Common Stock 15000 0 D Series A Convertible Preferred Stock 2008-10-10 Common Stock 80000 D Non-Qualified Stock Option (Right to Buy) 7.50 Common Stock 75000 75000 D The 30,000 shares were issued as of 10/1/2009 to Mr. Jensen by the Company as a bonus and vest as follows: 10,000 on 10/1/09, 10,000 on 4/1/10, and 10,000 on 10/1/10. These shares were issued to Mr. Jensen by the Company pursuant to the Amended and Restated Employment and Non-Competition Agreement effective 10/1/09 between the Company and Mr. Jensen. Represents 15,000 shares gifted to each of his sons, Ronald and Burton. Each share of Series A Convertible Preferred Stock is convertible into a hundreth of a share of Common Stock, and does not have an expiration date. The options may be excercised at any time within five years of vesting. The options vested as follows: 25,000 on 5/11/06, 25,000 on 6/30/07 and 25,000 on 6/30/08. /s/ George R. Jensen Jr. 2009-10-01 -----END PRIVACY-ENHANCED MESSAGE-----