SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
KING CATHY A

(Last) (First) (Middle)
C/O PAR TECHNOLOGY CORPORATION
8383 SENECA TURNPIKE

(Street)
NEW HARTFORD NY 13413

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/11/2022
3. Issuer Name and Ticker or Trading Symbol
PAR TECHNOLOGY CORP [ PAR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP, GEN COUNSEL & CORP SEC
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 7,011(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (right to buy) (2) 07/29/2026 Common Stock 20,000 $5.12 D
Employee Stock Option (right to buy) (3) 08/13/2028 Common Stock 3,188 $22.18 D
Employee Stock Option (right to buy) (4) 08/09/2029 Common Stock 5,382 $24.87 D
Employee Stock Option (right to buy) (5) 08/11/2030 Common Stock 960 $35.17 D
Explanation of Responses:
1. Includes (1) a grant of 3,740 restricted stock units that vest in one-third increments on March 31, 2022, March 31, 2023 and March 31, 2024; and (2) a grant of 1,944 restricted stock units, with 50% of the restricted stock units vesting in one-third increments on March 31, 2022, March 31, 2023 and March 31, 2024 and the remaining 50% of the restricted stock units vesting in one-third increments on March 31,2022, March 31, 2023 and March 31, 2024 in a range from 0% to 160% based on the achievement of certain performance targets.
2. Option vested in equal installments on July 29, 2017, July 29, 2018 and July 29, 2019.
3. Option vested in equal installments on August 13, 2019, August 13, 2020 and August 13, 2021.
4. Option vests in equal installments on August 9, 2020, August 9, 2021 and August 9, 2022.
5. Option vests in equal installments on August 11, 2021, August 11, 2022 and August 11, 2023.
Remarks:
/s/ Cathy A. King 02/18/2022
** 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 5 (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.
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