SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Greenwald Adrianna E.

(Last) (First) (Middle)
C/O MONEYGRAM INTERNATIONAL, INC.
2828 N. HARWOOD ST., 15TH FLOOR

(Street)
DALLAS TX 75201

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/29/2021
3. Issuer Name and Ticker or Trading Symbol
MONEYGRAM INTERNATIONAL INC [ MGI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Readiness Officer
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 134,253(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to buy) 08/06/2020 01/21/2022 Common Stock 5,000 $5 D
Stock Option (right to buy) 09/04/2020 01/21/2022 Common Stock 2,500 $5 D
Stock Option (right to buy) 09/08/2020 01/21/2022 Common Stock 5,000 $5 D
Stock Option (right to buy) 09/10/2020 01/21/2022 Common Stock 2,500 $5 D
Stock Option (right to buy) 12/11/2020 01/21/2022 Common Stock 2,500 $5 D
Stock Option (right to buy) 12/15/2020 01/21/2022 Common Stock 2,500 $5 D
Stock Option (right to buy) 02/24/2015(2) 02/24/2024 Common Stock 1,178 $29.08 D
Explanation of Responses:
1. Includes 6,734 time-based RSUs which vest on February 21, 2022; 7,866 time-based RSUs which vest on March 4, 2022; 7,866 time-based RSUs which vest on March 4, 2023; and 17,680 time-based RSUs granted on February 2021, which vest in three equal installments on each anniversary of such grant date.
2. A third of the options vested over three years following the grant date and are now fully vested.
Remarks:
Exhibit List: Exhibit 24 - Power of Attorney
/s/ Robert L. Villasenor, attorney-in-fact for Adrianna E. Greenwald 04/06/2021
** 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 5 (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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.