0001101215-17-000054.txt : 20170222 0001101215-17-000054.hdr.sgml : 20170222 20170222160325 ACCESSION NUMBER: 0001101215-17-000054 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170217 FILED AS OF DATE: 20170222 DATE AS OF CHANGE: 20170222 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: HORN CHARLES L CENTRAL INDEX KEY: 0001326952 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15749 FILM NUMBER: 17628310 MAIL ADDRESS: STREET 1: BUILDERS FIRSTSOURCE INC. STREET 2: 2001 BRYAN STREET, SUITE 1600 CITY: DALLAS STATE: TX ZIP: 75201 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2017-02-17 0001101215 ALLIANCE DATA SYSTEMS CORP ADS 0001326952 HORN CHARLES L 7500 DALLAS PARKWAY, SUITE 700 PLANO TX 75024 0 1 0 0 EVP & Chief Financial Officer Common Stock 2017-02-17 4 F 0 704 232.69 D 31295 D Common Stock 2017-02-21 4 F 0 979 235.40 D 30316 D Shares withheld by the Company to satisfy the Reporting Person's tax withholding obligation upon the vesting of restricted stock units. The total number of securities beneficially owned includes: (a) 16,114 unrestricted shares; (b) 373 unvested units from an award of 1,095 time-based restricted stock units granted 2/17/15; (c) 1,491 unvested units from an award of 4,384 performance-based restricted stock units granted 2/17/15; (d) 960 unvested units from an award of 1,434 time-based restricted stock units granted 2/16/16; (e) 1,711 unvested units from an award of 2,553 performance-based restricted stock units granted 2/16/16; (f) 1,593 unvested time-based restricted stock units granted 2/15/17; (g) 3,186 unvested performance-based restricted stock units granted 2/15/17; (h) 3,186 unvested performance-based restricted stock units granted 2/15/17; and (i) 1,702 unvested performance-based restricted stock units granted 2/15/17. Cynthia L. Hageman, Attorney in Fact 2017-02-22