0001774155-21-000040.txt : 20210519
0001774155-21-000040.hdr.sgml : 20210519
20210519175219
ACCESSION NUMBER: 0001774155-21-000040
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210517
FILED AS OF DATE: 20210519
DATE AS OF CHANGE: 20210519
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lane Flint A.
CENTRAL INDEX KEY: 0001836198
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38947
FILM NUMBER: 21941541
MAIL ADDRESS:
STREET 1: C/O BTRS HOLDINGS 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_162146112410885.xml
FORM 4
X0306
4
2021-05-17
0
0001774155
BTRS Holdings Inc.
BTRS
0001836198
Lane Flint A.
C/O BTRS HOLDINGS INC.
1009 LENOX DRIVE, SUITE 101
LAWRENCEVILLE
NJ
08648
1
1
1
0
Chief Executive Officer
Class 1 Common Stock
2021-05-17
4
F
0
2439
12.34
D
17514217
D
Class 1 Common Stock
7839464
I
By GRAT
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.
These Shares are held by the Flint Lane 2009 Grantor Retained Annuity Trust (the "GRAT") for the benefit of the Reporting Person's children. The Reporting Person's spouse is trustee of the GRAT. The Reporting Person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
/s/ Keith Omsberg, Attorney-in-Fact
2021-05-19