0001101215-16-000509.txt : 20161220 0001101215-16-000509.hdr.sgml : 20161220 20161220160222 ACCESSION NUMBER: 0001101215-16-000509 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161216 FILED AS OF DATE: 20161220 DATE AS OF CHANGE: 20161220 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: 7500 DALLAS PARKWAY, SUITE 700 CITY: PLANO STATE: TX ZIP: 75024 BUSINESS PHONE: 2144943000 MAIL ADDRESS: STREET 1: 7500 DALLAS PARKWAY, SUITE 700 CITY: PLANO STATE: TX ZIP: 75024 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kennedy Bryan J CENTRAL INDEX KEY: 0001454989 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15749 FILM NUMBER: 162061449 MAIL ADDRESS: STREET 1: 17655 WATERVIEW PARKWAY CITY: DALLAS STATE: TX ZIP: 75252 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2016-12-16 0001101215 ALLIANCE DATA SYSTEMS CORP ADS 0001454989 Kennedy Bryan J 7500 DALLAS PARKWAY, SUITE 700 PLANO TX 75024 0 1 0 0 EVP & President, Epsilon Common Stock 2016-12-16 4 P 0 238.177 231.109 A 116899.177 D Common Stock 600 I By Norma Kay Kennedy Living Trust Securities acquired resulted from a reinvestment of dividends received from Alliance Data Systems Corporation on its common shares paid December 16, 2016. The total number of securities beneficially owned includes: (a) 100,093.177 unrestricted shares; (b) 511 unvested units from an award of 1,501 time-based restricted stock units granted 2/18/14; (c) 2,768 unvested units from an award of 8,141 performance-based restricted stock units granted 2/18/14; (d) 936 unvested units from an award of 1,396 time-based restricted stock units granted 2/17/15; (e) 3,742 unvested units from an award of 5,584 performance-based restricted stock units granted 2/17/15; (f) 1,769 unvested time-based restricted stock units granted 2/16/16; and (g) 7,080 unvested performance-based restricted stock units granted 2/16/16. The shares are held in the Norma Kay Kennedy Living Trust for the benefit of the Reporting Person's mother. The Reporting Person serves as trustee. Cynthia L. Hageman, Attorney in Fact 2016-12-20