0001774155-21-000104.txt : 20211119 0001774155-21-000104.hdr.sgml : 20211119 20211119163025 ACCESSION NUMBER: 0001774155-21-000104 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211117 FILED AS OF DATE: 20211119 DATE AS OF CHANGE: 20211119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shifke Mark L CENTRAL INDEX KEY: 0001497742 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38947 FILM NUMBER: 211428734 MAIL ADDRESS: STREET 1: C/O BTRS HOLDING INC. STREET 2: 1009 LENOX DRIVE, SUITE 101 CITY: LAWRENCEVILLE STATE: NJ ZIP: 08648 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BTRS Holdings Inc. CENTRAL INDEX KEY: 0001774155 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371] IRS NUMBER: 833780685 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1009 LENOX DRIVE STREET 2: SUITE 101 CITY: LAWRENCEVILLE STATE: NJ ZIP: 08648 BUSINESS PHONE: (610) 592-7228 MAIL ADDRESS: STREET 1: 1009 LENOX DRIVE STREET 2: SUITE 101 CITY: LAWRENCEVILLE STATE: NJ ZIP: 08648 FORMER COMPANY: FORMER CONFORMED NAME: South Mountain Merger Corp. DATE OF NAME CHANGE: 20190417 4 1 wf-form4_163735740219348.xml FORM 4 X0306 4 2021-11-17 0 0001774155 BTRS Holdings Inc. BTRS 0001497742 Shifke Mark L C/O BTRS HOLDINGS INC. 1009 LENOX DRIVE, SUITE 101 LAWRENCEVILLE NJ 08648 0 1 0 0 Chief Financial Officer Class 1 Common Stock 2021-11-17 4 F 0 496 8.82 D 191630 D Represents the withholding of shares by the Issuer to satisfy the Reporting Person's tax withholding obligations in connection with the vesting of restricted stock units ("RSUs") received pursuant to Section 3.07 (the "Earnout Rights") of that certain Business Combination Agreement, dated as of October 18, 2020 and as amended, by and among the Issuer and certain other parties thereto. Each RSU represents a contingent right to receive one share of class 1 common stock of the Issuer. The number of RSUs issuable pursuant to the Earnout Rights was determined, and the Reporting Person's right to receive such RSUs subject to the Earnout Rights became fixed and irrevocable on February 10, 2021, the date on which the Issuer's closing share price equaled or exceeded $12.50 and $15.00 for 20 trading days within a consecutive 30-trading day period. /s/ Keith Omsberg, Attorney-in-Fact 2021-11-17