0001062993-21-005764.txt : 20210617 0001062993-21-005764.hdr.sgml : 20210617 20210617161019 ACCESSION NUMBER: 0001062993-21-005764 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210615 FILED AS OF DATE: 20210617 DATE AS OF CHANGE: 20210617 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TURNEY SHAREN J CENTRAL INDEX KEY: 0001363500 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15749 FILM NUMBER: 211024821 MAIL ADDRESS: STREET 1: THREE LIMITED PARKWAY CITY: COLUMBUS STATE: OH ZIP: 43230 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ALLIANCE DATA SYSTEMS CORP CENTRAL INDEX KEY: 0001101215 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 311429215 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3075 LOYALTY CIRCLE CITY: COLUMBUS STATE: OH ZIP: 43219 BUSINESS PHONE: 6147294000 MAIL ADDRESS: STREET 1: 3075 LOYALTY CIRCLE CITY: COLUMBUS STATE: OH ZIP: 43219 4 1 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0306 4 2021-06-15 0001101215 ALLIANCE DATA SYSTEMS CORP ADS 0001363500 TURNEY SHAREN J 3075 LOYALTY CIRCLE COLUMBUS OH 43219 1 0 0 0 Common Stock 2021-06-15 4 A 0 1213 A 6853 D The new grant is for 1,213 shares of common stock represented by restricted stock units. The restrictions on 100% of the shares will lapse on the earlier of (i) 6/15/31 or (ii) termination of the director's service on the Company's board of directors, but in any case not earlier than June 15, 2022. The total amount of securities beneficially owned includes: (a) 1,725 unrestricted shares; (b) 959 unvested restricted stock units granted 6/24/19; (c) 2,956 unvested restricted stock units granted 6/22/20; and (d) the new grant for 1,213 restricted stock units. Cynthia L. Hageman, Attorney in Fact 2021-06-17