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*
Labay Mark F.

(Last) (First) (Middle)
7250 S. TENAYA WAY
SUITE 100

(Street)
LAS VEGAS NV 89113

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/01/2020
3. Issuer Name and Ticker or Trading Symbol
Everi Holdings Inc. [ EVRI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP, CFO
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(1) 2,210 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(1) (2) 03/01/2021 Common Stock 30,000 $3.41 D
Stock Option(1) (3) 03/02/2022 Common Stock 28,000 $5.58 D
Stock Option(1) (4) 05/13/2026 Common Stock 50,000 $1.46 D
Stock Option(1) (5) 03/08/2027 Common Stock 45,000 $3.29 D
Restricted Stock Units(1) (6) (6) Common Stock 9,000(6) (7) D
Restricted Stock Units(1) (8) (8) Common Stock 17,000 (7) D
Restricted Stock Units(1) (9) (9) Common Stock 7,754 (7) D
Explanation of Responses:
1. In connection with the appointment as Executive Vice President, Chief Financial Officer and Treasurer, Mr. Labay also became a Section 16 Officer effective April 1, 2020.
2. Represents an option to purchase 30,000 shares of the Company's common stock, which vested over a period of four years from the date of grant of March 1, 2011.
3. Represents an option to purchase 28,000 shares of the Company's common stock, which vested over a period of four years from the date of grant of March 2, 2012.
4. Represents an option to purchase 50,000 shares of the Company's common stock, which will vest in equal installments on each of the first four anniversary dates from the date of grant of May 13, 2016.
5. Represents an option to purchase 45,000 shares of the Company's common stock, which will vest in equal installments on each of the first four anniversary dates from the date of grant of March 8, 2017.
6. Represents restricted stock units to originally acquire 12,000 shares of the Company's common stock that will vest in equal installments on each of the first four anniversary dates from the date of grant of May 22, 2018.
7. Each restricted stock unit represents a contingent right to receive one share of common stock.
8. Represents restricted stock units to acquire shares of the Company's common stock that will vest in equal installments on each of the first four anniversary dates from the date of grant of May 1, 2019.
9. Represents restricted stock units to acquire shares of the Company's common stock that will fully vest in six months from the date of grant of March 13, 2020.
Remarks:
Exhibit 24 - Limited Power of Attorney
/s/ Mark F. Labay by Todd A. Valli, Attorney-in-Fact 04/03/2020
** 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.