SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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X
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Brooks Megan M.

(Last) (First) (Middle)
C/O RIOT BLOCKCHAIN, INC.
3855 AMBROSIA STREET, STE 301

(Street)
CASTLE ROCK CO 80109

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Riot Blockchain, Inc. [ RIOT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
[See remarks]
3. Date of Earliest Transaction (Month/Day/Year)
04/20/2022
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 04/20/2022 M 1,500 A $0.00(1) 101,062(2) D
Common Stock 04/20/2022 F 450(3) D $14.79 100,612(2) D
Common Stock 04/20/2022 M 1,500 A $0.00(1) 102,112(2) D
Common Stock 04/20/2022 F 450(3) D $14.79 101,662(2) D
Common Stock 04/20/2022 M 20,000 A $0.00(1) 121,662(2) D
Common Stock 04/20/2022 F 6,000(3) D $14.79 115,662(2) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units $0.00(1) 04/20/2022 M 1,500 (4) (4) Common Stock 1,500 $0.00(1) 99,500(2) D
Restricted Stock Units $0.00(1) 04/20/2022 M 1,500 (5) (5) Common Stock 1,500 $0.00(1) 98,000(2) D
Restricted Stock Units $0.00(1) 04/20/2022 M 20,000 (6) (6) Common Stock 20,000 $0.00(1) 78,000(2) D
Explanation of Responses:
1. Pursuant to the Riot Blockchain, Inc. 2019 Equity Incentive Plan, as amended, (the "Plan") each time-based restricted stock unit ("RSUs") and each performance-based restricted stock unit ("PSUs") represents a contingent right to receive one share of the Issuer's common stock, no par value per share, ("Common Stock") subject to any net settlement permitted under the Plan and approved by the Issuer's Compensation and Human Resources Committee (the "Committee"), following vesting and settlement by the Issuer.
2. Represents the total direct and indirect beneficial ownership of the security held by the Reporting Person immediately following the issuance reported by this Form 4.
3. Represents net settlement for taxes due in connection with the conversion of 3,000 vested RSUs and 20,000 vested PSUs into shares of the Issuer's Common Stock upon settlement by the Issuer, as permitted by the Plan and approved by the Committee.
4. Represents the settlement by the Issuer of the final quarterly tranche of 1,500 RSUs of the 6,000 RSUs granted to the Reporting Person on April 6, 2021, which vested in four quarterly installments after the grant date.
5. Represents the settlement by the Issuer of the vested and unsettled portion of the 6,000 RSUs granted to the Reporting Person on November 5, 2021, which vested in four quarterly installments after the grant date.
6. Represents the settlement by the Issuer of the vested portion of the PSUs granted to the Reporting Person on August 12, 2021, as reported by the Form 4 filed by the Reporting Person on April 15, 2022.
Remarks:
Effective as of April 7, 2022, the Reporting Person resigned as the Issuer's Chief Operating Officer and from all other positions with the Issuer pursuant to the Separation Agreement; however, as part of the Separation Agreement, derivative securities granted to the Reporting Person under the Plan are eligible to continue vesting through the termination of the Transition Period specified in the Separation Agreement, which ends on July 7, 2022.
/s/ Megan M. Brooks 04/22/2022
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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