0001181431-12-057691.txt : 20121108 0001181431-12-057691.hdr.sgml : 20121108 20121108170337 ACCESSION NUMBER: 0001181431-12-057691 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121107 FILED AS OF DATE: 20121108 DATE AS OF CHANGE: 20121108 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MURSTEIN ANDREW CENTRAL INDEX KEY: 0001033265 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 814-00188 FILM NUMBER: 121190787 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MEDALLION FINANCIAL CORP CENTRAL INDEX KEY: 0001000209 STANDARD INDUSTRIAL CLASSIFICATION: FINANCE SERVICES [6199] IRS NUMBER: 043291176 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 437 MADISON AVE 38 TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2123282153 MAIL ADDRESS: STREET 1: 437 MADISON AVENUE STREET 2: 38TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 4 1 rrd359936.xml FORM 4 X0306 4 2012-11-07 0 0001000209 MEDALLION FINANCIAL CORP TAXI 0001033265 MURSTEIN ANDREW C/O MEDALLION FINANCIAL CORP. 437 MADISON AVENUE NEW YORK NY 10022 1 1 0 0 President Common Stock 2012-11-07 4 M 0 47000 3.70 A 1446063 I See Footnote Common Stock 53849 D Common Stock (right to buy) 3.70 2012-11-07 4 M 0 47000 0 D 2003-01-01 2013-01-01 Common Stock 47000 120000 D Represents shares beneficially owned by the Andrew Murstein Family Trust. One-third of the options vested on the first, second and third anniversaries of the date of grant. All options have fully vested. /s/ Andrew M. Murstein 2012-11-08