0000899243-17-005292.txt : 20170224 0000899243-17-005292.hdr.sgml : 20170224 20170224191101 ACCESSION NUMBER: 0000899243-17-005292 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170222 FILED AS OF DATE: 20170224 DATE AS OF CHANGE: 20170224 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MONEYGRAM INTERNATIONAL INC CENTRAL INDEX KEY: 0001273931 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 161690064 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2828 N. HARWOOD STREET, 15TH FLOOR CITY: DALLAS STATE: TX ZIP: 75201 BUSINESS PHONE: 2149997640 MAIL ADDRESS: STREET 1: 2828 N. HARWOOD STREET, 15TH FLOOR CITY: DALLAS STATE: TX ZIP: 75201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Holmes W. Alexander CENTRAL INDEX KEY: 0001525597 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31950 FILM NUMBER: 17639170 MAIL ADDRESS: STREET 1: 2828 NORTH HARWOOD STREET STREET 2: 15TH FLOOR CITY: DALLAS STATE: TX ZIP: 75201 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-02-22 0 0001273931 MONEYGRAM INTERNATIONAL INC MGI 0001525597 Holmes W. Alexander 2828 NORTH HARWOOD STREET 15TH FLOOR DALLAS TX 75201 1 1 0 0 CEO Common Stock 2017-02-22 4 A 0 170991 0.00 A 679198 D Common Stock 2017-02-23 4 F 0 47538 12.75 D 629377 D Represents the number of shares of common stock issuable upon vesting of 113,994 time-based RSUs and the target number of shares of common stock eligible to be issued upon vesting of 56,997 performance-based RSUs. The time-based RSUs vest in 3 equal installments on each anniversary of the grant date. The performance-based RSUs vest in three equal installments on each anniversary of the grant date if certain performance goals are achieved, with up to 50% of the performance-based RSUs vesting over such three year period if a target level of constant currency Adjusted EBITDA is achieved for the year ended December 31, 2017 and up to 50% of the performance-based RSUs vesting over such three year period if a target level of constant currency revenue is achieved for the year ended December 31, 2017, subject to potential adjustments to take into account certain impacts of a proposed merger. Includes 448,916 shares that may be issued upon vesting of previously granted performance-based and time-based RSUs. Represents the number of shares withheld for the payment of tax liabilities in connection with the vesting of 95,049 time-based RSUs and 18,268 performance-based RSUs that were granted on February 23, 2016. The price was determined based on the closing price of $12.75 per share of MoneyGram International, Inc.'s common stock on February 23, 2017. Includes 504,307 shares that may be issued upon vesting of previously granted performance-based and time-based RSUs. /s/ Francis Aaron Henry, attorney-in-fact 2017-02-24