0001181431-12-028849.txt : 20120509
0001181431-12-028849.hdr.sgml : 20120509
20120509175455
ACCESSION NUMBER: 0001181431-12-028849
CONFORMED SUBMISSION TYPE: 3/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120509
FILED AS OF DATE: 20120509
DATE AS OF CHANGE: 20120509
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Green Richard T.
CENTRAL INDEX KEY: 0001527103
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35232
FILM NUMBER: 12827054
MAIL ADDRESS:
STREET 1: 1100 PARK PLACE
STREET 2: 4TH FLOOR
CITY: SAN MATEO
STATE: CA
ZIP: 94403
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: WAGEWORKS, INC.
CENTRAL INDEX KEY: 0001158863
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 943351864
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1100 PARK PLACE
STREET 2: 4TH FLOOR
CITY: SAN MATEO
STATE: CA
ZIP: 94403
BUSINESS PHONE: 650-557-5200
MAIL ADDRESS:
STREET 1: 1100 PARK PLACE
STREET 2: 4TH FLOOR
CITY: SAN MATEO
STATE: CA
ZIP: 94403
FORMER COMPANY:
FORMER CONFORMED NAME: WAGEWORKS INC
DATE OF NAME CHANGE: 20010907
3/A
1
rrd344234.xml
FORM 3/A
X0205
3/A
2012-05-09
2011-08-04
0
0001158863
WAGEWORKS, INC.
WAGE
0001527103
Green Richard T.
C/O WAGEWORKS, INC., 1100 PARK PLACE
4TH FLOOR
SAN MATEO
CA
94403
0
1
0
0
Chief Financial Officer
Employee Stock Option (right to buy)
6.14
2019-05-29
Common Stock
150000
D
Employee Stock Option (right to buy)
5.32
2020-05-06
Common Stock
87500
D
Employee Stock Option (right to buy)
6.18
2020-11-04
Common Stock
30000
D
Employee Stock Option (right to buy)
9.59
2022-02-09
Common Stock
40000
D
The option is subject to an early exercise provision and is immediately exercisable. One-fourth of the shares subject to the option vested on December 15, 2009 and one forty-eighth of the shares vest monthly thereafter.
The option is subject to an early exercise provision and is immediately exercisable. One-fourth of the shares subject to the option vested on May 6, 2011 and one forty-eighth of the shares vest monthly thereafter.
The option is subject to an early exercise provision and is immediately exercisable. Shares subject to the option vest in full on November 4, 2017; provided, however, (i) 25% of the shares subject to the option shall vest upon the closing of the Issuer's initial public offering of common stock; (ii) 25% of the shares subject to the option shall vest upon the achievement of certain financial performance goals; and (iii) the remaining 50% of of the shares subject to the option shall vest upon the achievement of both (i) and (ii).
The option is subject to an early exercise provision and is immediately exercisable. Shares subject to the option vest in full on February 9, 2019; provided, however, (i) 25% of the shares subject to the option shall vest upon the closing of the Issuer's initial public offering of common stock; (ii) 25% of the shares subject to the option shall vest upon the achievement of certain financial performance goals; and (iii) the remaining 50% of the shares subject to the option shall vest upon the achievement of both (i) and (ii).
This amended and restated report on Form 3/A is being filed to (i) correct the transaction date originally reported as August 4, 2011 to May 9, 2012, the effective date of the Issuer's Registration Statement on Form S-1 (the "Effective Date"); (ii) revise the footnote disclosure for the securities previously reported; and (iii) update the Reporting Person's securities beneficially owned as of the Effective Date.
/s/ Kimberly L. Jackson, by power of attorney
2012-05-09