0001179110-16-030786.txt : 20161019 0001179110-16-030786.hdr.sgml : 20161019 20161019163804 ACCESSION NUMBER: 0001179110-16-030786 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161017 FILED AS OF DATE: 20161019 DATE AS OF CHANGE: 20161019 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Liberty Tax, Inc. CENTRAL INDEX KEY: 0001528930 STANDARD INDUSTRIAL CLASSIFICATION: PATENT OWNERS & LESSORS [6794] IRS NUMBER: 273561876 STATE OF INCORPORATION: DE FISCAL YEAR END: 0430 BUSINESS ADDRESS: STREET 1: 1716 CORPORATE LANDING PARKWAY CITY: VIRGINIA BEACH STATE: VA ZIP: 23454 BUSINESS PHONE: 757-493-8855 MAIL ADDRESS: STREET 1: 1716 CORPORATE LANDING PARKWAY CITY: VIRGINIA BEACH STATE: VA ZIP: 23454 FORMER COMPANY: FORMER CONFORMED NAME: JTH Holding, Inc. DATE OF NAME CHANGE: 20110830 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HERSKOVITS THOMAS CENTRAL INDEX KEY: 0001269480 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35588 FILM NUMBER: 161942863 MAIL ADDRESS: STREET 1: C/O NATURAL GOLF CORP STREET 2: 1200 E BUSINESS CENTER DR CITY: MOUNT PROSPECT STATE: IL ZIP: 60056 4 1 edgar.xml FORM 4 - X0306 4 2016-10-17 0 0001528930 Liberty Tax, Inc. TAX 0001269480 HERSKOVITS THOMAS 1716 CORPORATE LANDING PARKWAY VIRGINIA BEACH VA 23454 1 0 0 0 Class A Common Stock 2016-10-17 4 M 0 977 A 977 D Restricted Stock Units 2016-10-17 4 M 0 977 0 D Class A Common Stock 977 0 D Each restricted stock unit represents the right to receive, upon vesting, one share of Class A Common Stock. The restricted stock unit award was granted on October 15, 2015 and vested in full October 15, 2016. Represents the conversion upon vesting of restricted stock units into Class A Common Stock. On October 15, 2015, the reporting person was granted 977 restricted stock units, of which all of the shares subject to the restricted stock units vested on October 15, 2016. Such restricted stock units were previously reported in Table II on the Form 3 filed with the Securities and Exchange Commission on October 16, 2015. Thomas Herskovits 2016-10-19