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*
Samson James Gordon

(Last) (First) (Middle)
C/O CLAIRVATE PLC
FRIARS HOUSE, 160 BLACKFRIARS ROAD

(Street)
LONDON X0 SE1 8EZ

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CLARIVATE Plc [ CLVT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
President, IP Group
3. Date of Earliest Transaction (Month/Day/Year)
12/20/2021
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
Ordinary Shares 12/20/2021 M 41,721.6 A $0 946,154.6 D
Ordinary Shares 12/20/2021 D 41,721.6 D $23.7795 904,433 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
Phantom Shares $0.0(1) 12/20/2021 M(2) 15,509(3) (1) (1) Ordinary Shares 41,721.6 $0 0 D(3)
Explanation of Responses:
1. Represents phantom awards (the "Phantom Shares") granted to the reporting person under the CPA Global Employee Phantom Share Plan (the "Phantom Plan"), which vested on October 1, 2021. Each Phantom Share is the equivalent of approximately 2.7 ordinary shares of the Issuer and entitle the reporting person to a cash payment equal to the weighted average sale price of all ordinary shares of the Issuer held by Capri Acquisition Topco Limited ("Capri TopCo"), or by an employee benefit trust on behalf of the reporting person, with respect to all Phantom Shares awarded under the Phantom Plan, multiplied by the number of ordinary shares of the Issuer underlying the reporting person's Phantom Shares.
2. Represents the settlement of Phantom Shares held by the reporting person, as described in more detail in footnote 1, for cash.
3. The reporting person's Form 3, filed on July 14, 2021, reported the Phantom Shares as indirectly held by Capri Topco. While the ordinary shares of the Issuer underlying the Phantom Shares were held by Capri TopCo, or by an employee benefit trust on behalf of the reporting person, the reporting person directly holds the Phantom Shares.
Remarks:
/s/ Julio Martin, Attorney in Fact 12/21/2021
** 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.