0000950142-19-001793.txt : 20190815 0000950142-19-001793.hdr.sgml : 20190815 20190815170218 ACCESSION NUMBER: 0000950142-19-001793 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190813 FILED AS OF DATE: 20190815 DATE AS OF CHANGE: 20190815 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tolston Alex J CENTRAL INDEX KEY: 0001575999 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35886 FILM NUMBER: 191030941 MAIL ADDRESS: STREET 1: C/O HEMISPHERE MEDIA GROUP, INC. STREET 2: 2000 PONCE DE LEON BLVD., SUITE 500 CITY: CORAL GABLES STATE: FL ZIP: 33134 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HEMISPHERE MEDIA GROUP, INC. CENTRAL INDEX KEY: 0001567345 STANDARD INDUSTRIAL CLASSIFICATION: CABLE & OTHER PAY TELEVISION SERVICES [4841] IRS NUMBER: 800885255 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4000 PONCE DE LEON BLVD., SUITE 650 CITY: CORAL GABLES STATE: FL ZIP: 33146 BUSINESS PHONE: 305-421-6364 MAIL ADDRESS: STREET 1: 4000 PONCE DE LEON BLVD., SUITE 650 CITY: CORAL GABLES STATE: FL ZIP: 33146 4 1 es1901011_4-tolston.xml OWNERSHIP DOCUMENT X0306 4 2019-08-13 0 0001567345 HEMISPHERE MEDIA GROUP, INC. HMTV 0001575999 Tolston Alex J C/O HEMISPHERE MEDIA GROUP, INC. 4000 PONCE DE LEON BLVD., SUITE 650 CORAL GABLES FL 33146 0 1 0 0 EVP, CLO & Corp. Sec'y CLASS A COMMON STOCK 2019-08-13 4 A 0 42500 0 A 78297 D EMPLOYEE STOCK OPTION (RIGHT TO BUY) 12.06 2019-08-13 4 A 0 225000 0 A 2029-08-13 Class A Common Stock 225000 225000 D Represents restricted shares of Class A common stock, par value $0.0001 per share ("Class A common stock"), granted pursuant to the Hemisphere Media Group, Inc. Amended and Restated 2013 Equity Incentive Plan (the "Equity Plan"). The restricted stock will vest, subject to certain exceptions, in equal annual installments on each of the first three (3) anniversaries of April 9, 2019 (the "Effective Date"). Represents options to purchase shares of Class A common stock granted pursuant to the Equity Plan (the "Options"). The Options will vest, subject to certain exceptions, in equal annual installments on each of the first three (3) anniversaries of the Effective Date. Does not include (i) 125,000 stock options to purchase shares of Class A common stock at $10.20 per share, (ii) 200,000 stock options to purchase shares of Class A common stock at $11.90 per share, and (iii) 25,000 stock options which will vest upon the fair market value of the Class A common stock price reaching or exceeding $15.00 per share on at least ten trading days (which need not be consecutive) following April 9, 2013, previously reported by Reporting Person. /s/ Alex J. Tolston 2019-08-15