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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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*
Jackman William Richard

(Last) (First) (Middle)
C/O RIOT BLOCKCHAIN, INC.
3855 AMBROSIA STREET, STE. 301

(Street)
CASTLE ROCK CO 80109

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Riot Blockchain, Inc. [ RIOT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP & General Counsel
3. Date of Earliest Transaction (Month/Day/Year)
09/12/2022
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 09/12/2022 M 55,315 A $0.00(1) 86,104(2) D
Common Stock 09/12/2022 F 27,657(3) D $8.26 58,447(2) 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
Restricted Stock Units $0.00(1) 09/12/2022 M 50,000 (4) (4) Common Stock 50,000 $0.00(1) 5,315(2)(5) D
Restricted Stock Units $0.00(1) 09/12/2022 M 5,315 (6) (6) Common Stock 5,315 $0.00(1) 0(2) D
Explanation of Responses:
1. Under the Riot Blockchain, Inc. 2019 Equity Incentive Plan, as amended, (the "Plan") each service-based restricted stock unit ("RSU") and performance-based restricted stock unit ("PSU") represents a contingent right to receive one share of the Issuer's common stock, no par value per share, ("Common Stock") subject to any net settlement permitted under the Plan and approved by the Issuer's Compensation and Human Resources Committee (the "Committee"), following vesting and settlement by the Issuer. Pursuant to the Plan, RSUs and PSUs are subject to forfeiture until vested, and are contingent on the Recipient's continued employment or service with the Issuer through vesting.
2. Represents the total direct and indirect beneficial ownership of the indicated security held by the Reporting Person immediately following the reported transaction.
3. Represents net settlement in connection with the conversion of vested RSUs and PSUs into shares of the Issuer's Common Stock noted in Table II of this report, as permitted under the Plan and approved by the Committee.
4. Represents the settlement following vesting of 50,000 PSU granted, as of August 12, 2021, to the Reporting Person under the Plan, which vested upon the Committee's determination that the performance criteria corresponding to 50,000 PSUs had been achieved.
5. On March 18, 2022, the reporting person filed a Form 4 which inadvertently reported that, following his conversion of vested RSUs on Table II, the number of derivative securities beneficially owned totaled 41,321. The correct number of derivative securities beneficially owned following the reported transaction were 41,315.
6. Represents the settlement following vesting of the remaining balance of the 10,630 RSU granted, as of July 15, 2021, to the Reporting Person under the Plan, which were eligible to vest in four approximately equal quarterly installments following the grant date.
/s/ Alexander K. Travis, Attorney-in-Fact for William Richard Jackman 09/14/2022
** 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.