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
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X
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*
BENSON GARY

(Last) (First) (Middle)
P.O. BOX 583017

(Street)
MINNEAPOLIS MN 55458

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
GLOBAL TRAFFIC NETWORK, INC. [ GNET ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
09/08/2011
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
Common Stock 09/08/2011 S 40,001 D $13.95 29,999(1) D
Common Stock 09/28/2011 U 29,999(2) D (2) 0(3) D
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
Stock Options (right to buy) $5 09/28/2011 U 50,000 (4) 03/23/2016 Common Stock 50,000 (5) 0 D
Explanation of Responses:
1. Includes restricted stock, with restrictions that will lapse as to 6,666 shares on February 26, 2012, as to 6,667 shares on March 3, 2012, and as to 6,666 shares on March 3, 2013, and as to 3,334 shares on March 1, 2012 and as to 3,333 shares on each of March 1, 2013 and March 1, 2014.
2. Represents unvested shares of restricted stock that were converted into the right to receive $14.00 per share in cash (without interest and less any required withholding taxes), in accordance with the terms and conditions of the Agreement and Plan of Merger, dated August 2, 2011 (the "Merger Agreement"), a copy of which was filed with the SEC on August 3, 2011.
3. Prior reports included 52,000 shares held by DMB 2009 LLC, a limited liability company. Since neither the Reporting Person, or his spouse are controlling persons of the LLC, the shares held by the LLC are not subject to reporting by the Reporting Person.
4. Options vest in equal increments over three years beginning on the first anniversary of the date of grant.
5. These stock options were canceled in exchange for the right to receive a cash payment (without interest and less any required withholding taxes) for each such option equal to the excess of $14.00 over the per-share exercise price of such option multiplied by the number of shares underlying such stock option in accordance with the terms and conditions of the Merger Agreement.
/s/ Gary Benson 09/30/2011
** 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.