Form 4 Chism Daniel M

Statement of changes in beneficial ownership of securities

Published: 2018-12-12 10:58:55
Submitted: 2018-12-12
Period Ending In: 2018-12-11
doc4.html FORM 4 SUBMISSION


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SEC FORM 4

SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
CHISM DANIEL M

(Last) (First) (Middle)
2500 BEE CAVE ROAD
BLDG, 1, SUITE 200

(Street)
ROLLINGWOOD TX 78746

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
EZCORP INC [ EZPW ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Financial Officer
3. Date of Earliest Transaction (Month/Day/Year)
12/11/2018
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units (1) 12/11/2018 A 42,056 (2) (2) Class A Non-Voting Common Stock 42,056 $0.00 89,424 D
Explanation of Responses:
1. Each unit represents a contingent right to receive one share of EZCORP Class A Non-Voting Common Stock at the time of vesting.
2. The units vest, in whole or in part, on September 30, 2021, subject to the attainment of specified performance goals.
Remarks:
/s/ Carrie Putnam, attorney in fact 12/12/2018
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
1
doc4.xml FORM 4 SUBMISSION
Schema Version:
X0306
Document Type:
4
Period Of Report:
2018-12-11
Not Subject To Section16:
0

Issuer

Issuer Cik
0000876523
Issuer Name
EZCORP INC
Issuer Trading Symbol
EZPW

Reporting Owner

Reporting Owner Id

Rpt Owner Cik
0001219755
Rpt Owner Name
CHISM DANIEL M

Reporting Owner Address

Rpt Owner Street1
2500 BEE CAVE ROAD
Rpt Owner Street2
BLDG, 1, SUITE 200
Rpt Owner City
ROLLINGWOOD
Rpt Owner State
TX
Rpt Owner Zip Code
78746

Reporting Owner Relationship

Is Director
0
Is Officer
1
Is Ten Percent Owner
0
Is Other
0
Officer Title
Chief Financial Officer

Derivative Transaction

Security Title
Restricted Stock Units
@attributes Id
F1
Transaction Date
2018-12-11

Transaction Coding

Transaction Form Type
4
Transaction Code
A
Equity Swap Involved
0

Transaction Amounts

Transaction Shares
42056
Transaction Price Per Share
0.00
Transaction Acquired Disposed Code
A
@attributes Id
F2
@attributes Id
F2

Underlying Security

Underlying Security Title
Class A Non-Voting Common Stock
Underlying Security Shares
42056
Shares Owned Following Transaction
89424
Direct Or Indirect Ownership
D

Footnote

0
Each unit represents a contingent right to receive one share of EZCORP Class A Non-Voting Common Stock at the time of vesting.
1
The units vest, in whole or in part, on September 30, 2021, subject to the attainment of specified performance goals.

Owner Signature

Signature Name
/s/ Carrie Putnam, attorney in fact
Signature Date
2018-12-12
Additional Files
FileSequenceDescriptionTypeSize
0001209191-18-062165.txt   Complete submission text file   5496
$EZPW

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