0001106066-17-000002.txt : 20170228 0001106066-17-000002.hdr.sgml : 20170228 20170228135625 ACCESSION NUMBER: 0001106066-17-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170224 FILED AS OF DATE: 20170228 DATE AS OF CHANGE: 20170228 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SALEM MEDIA GROUP, INC. /DE/ CENTRAL INDEX KEY: 0001050606 STANDARD INDUSTRIAL CLASSIFICATION: RADIO BROADCASTING STATIONS [4832] IRS NUMBER: 770121400 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4880 SANTA ROSA RD CITY: CAMARILLO STATE: CA ZIP: 93012 BUSINESS PHONE: 8059870400 MAIL ADDRESS: STREET 1: 4880 SANTA ROSA RD CITY: CAMARILLO STATE: CA ZIP: 93012 FORMER COMPANY: FORMER CONFORMED NAME: SALEM COMMUNICATIONS CORP /DE/ DATE OF NAME CHANGE: 19971201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ATSINGER EDWARD G III CENTRAL INDEX KEY: 0001106066 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26497 FILM NUMBER: 17646334 MAIL ADDRESS: STREET 1: 4880 SANTA ROSA RD CITY: CAMARILLO STATE: CA ZIP: 93012 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-02-24 0 0001050606 SALEM MEDIA GROUP, INC. /DE/ SALM 0001106066 ATSINGER EDWARD G III 4880 SANTA ROSA RD CAMARILLO CA 93012 1 1 1 0 Chief Executive Officer Class A Common Stock 2017-02-24 4 A 0 42554 0 A 42554 D Class A Common Stock 3211502 I By Atsinger Family Trust Class A Common Stock 1090078 I By Ted Atsinger Irrevocable Trust Class A Common Stock 25000 I By Atsinger 1999 Charitable Remainder Trust Stock Option (right to buy) 4.85 2017-02-24 4 D 0 50000 0 D 2017-03-08 2025-03-08 Class A Common Stock 50000 100000 D Stock Option (right to buy) 6.92 2017-02-24 4 D 0 50000 0 D 2014-03-11 2021-03-11 Class A Common Stock 50000 100000 D Restricted stock grant. By Edward G. Atsinger III, as Trustee of the Atsinger Family Trust. By Edward G. Atsinger III, as Trustee of the Ted Atsinger Irrevocable Trust for all purposes other than voting matters. By Edward G. Atsinger III, as Trustee of the Atsinger 1999 Charitable Remainder Trust. This transaction involves the partial rescission of stock options previously granted under the Issuer's Amended and Restated 1999 Stock Incentive Plan. /s/Christopher J. Henderson, Attorney-in-fact for Edward G. Atsinger III pursuant to a continuing Power of Attorney 2017-02-28