0001140361-11-022366.txt : 20110418 0001140361-11-022366.hdr.sgml : 20110418 20110418114319 ACCESSION NUMBER: 0001140361-11-022366 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110414 FILED AS OF DATE: 20110418 DATE AS OF CHANGE: 20110418 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: USA TECHNOLOGIES INC CENTRAL INDEX KEY: 0000896429 STANDARD INDUSTRIAL CLASSIFICATION: CALCULATING & ACCOUNTING MACHINES (NO ELECTRONIC COMPUTERS) [3578] IRS NUMBER: 232679963 STATE OF INCORPORATION: PA FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 100 DEERFIELD LANE STREET 2: SUITE 140 CITY: MALVERN STATE: PA ZIP: 19355 BUSINESS PHONE: 6109890340 MAIL ADDRESS: STREET 1: 100 DEERFIELD LANE STREET 2: SUITE 140 CITY: MALVERN STATE: PA ZIP: 19355 FORMER COMPANY: FORMER CONFORMED NAME: USA ENTERTAINMENT CENTER INC DATE OF NAME CHANGE: 19931029 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JENSEN GEORGE R JR CENTRAL INDEX KEY: 0001202180 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33365 FILM NUMBER: 11764827 MAIL ADDRESS: STREET 1: 517 LEGION RD CITY: WEST CHESTER STATE: PA ZIP: 19382 4 1 doc1.xml FORM 4 X0303 4 2011-04-14 0 0000896429 USA TECHNOLOGIES INC USAT 0001202180 JENSEN GEORGE R JR 100 DEERFIELD LN SUITE 140 MALVERN X1 19355 1 1 0 0 CEO Common Stock 2011-04-14 4 A 0 125000 0 A 222258 D Common Stock 35429 I By Trust Common Stock 2000 I By Spouse Series A Convertible Preferred Stock 2008-10-10 Common Stock 35000 D Warrants 2.2 2010-01-01 2011-12-31 Common Stock 15000 15000 D Non-Qualified Stock Option (Right to Buy) 7.5 Common Stock 75000 75000 D The 125,000 shares were issued to Mr. Jensen by the Company as of 4/14/2011 and vest as follows: 41,666 on 4/14/11, 41,667 on 4/14/12, and 41,667 on 4/14/13. These shares were issued in connection with the execution of the First Amendment to Employment and Non-Competition Agreement dated April 14, 2011 between the Company and Mr. Jensen. Each share of Series A Convertible Preferred Stock is convertible into a hundredth of a share of Common Stock, and does not have an expiration date. The options may be excercised at any time within five years of vesting. The options vested as follows: 25,000 on 5/11/06, 25,000 on 6/30/07 and 25,000 on 6/30/08. /s/ George R. Jensen, Jr. 2011-04-18