0000950142-21-003781.txt : 20211122 0000950142-21-003781.hdr.sgml : 20211122 20211122171348 ACCESSION NUMBER: 0000950142-21-003781 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211118 FILED AS OF DATE: 20211122 DATE AS OF CHANGE: 20211122 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Garcia John Anthony CENTRAL INDEX KEY: 0001890788 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35886 FILM NUMBER: 211433546 MAIL ADDRESS: STREET 1: C/O HEMISPHERE MEDIA GROUP, INC. STREET 2: 4000 PONCE DE LEON BLVD., SUITE 650 CITY: CORAL GABLES STATE: FL ZIP: 33146 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 es210204485_4-garciaj.xml OWNERSHIP DOCUMENT X0306 4 2021-11-18 0 0001567345 HEMISPHERE MEDIA GROUP, INC. HMTV 0001890788 Garcia John Anthony C/O HEMISPHERE MEDIA GROUP, INC. 4000 PONCE DE LEON BLVD., SUITE 650 CORAL GABLES FL 33146 0 1 0 0 EVP, SALES & REVENUE Class A Common Stock 2021-11-18 4 A 0 20000 0 A 20000 D EMPLOYEE STOCK OPTION (RIGHT TO BUY) 10.35 2021-11-18 4 A 0 20000 0 A 2031-11-18 Class A Common Stock 20000 20000 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 December 31, 2021 (the "Effective Date"). Represents options to purchase shares of Class A common stock granted pursuant to the Equity Plan. The employee stock options will vest, subject to certain exceptions, in equal annual installments on each of the first three (3) anniversaries of the Effective Date. /s/ John Anthony Garcia 2021-11-22