0001127602-22-009101.txt : 20220314 0001127602-22-009101.hdr.sgml : 20220314 20220314160929 ACCESSION NUMBER: 0001127602-22-009101 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210504 FILED AS OF DATE: 20220314 DATE AS OF CHANGE: 20220314 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kouzelos Michael P CENTRAL INDEX KEY: 0001641312 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-32961 FILM NUMBER: 22736641 MAIL ADDRESS: STREET 1: 6050 OAK TREE BLVD SUITE 500 CITY: CLEVELAND STATE: OH ZIP: 44131 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CBIZ, Inc. CENTRAL INDEX KEY: 0000944148 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 222769024 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6801 BRECKSVILLE ROAD STREET 2: DOOR N CITY: INDEPENDENCE STATE: OH ZIP: 44131 BUSINESS PHONE: 2164479000 MAIL ADDRESS: STREET 1: 6801 BRECKSVILLE ROAD STREET 2: DOOR N CITY: INDEPENDENCE STATE: OH ZIP: 44131 FORMER COMPANY: FORMER CONFORMED NAME: CENTURY BUSINESS SERVICES INC DATE OF NAME CHANGE: 19980218 FORMER COMPANY: FORMER CONFORMED NAME: INTERNATIONAL ALLIANCE SERVICES INC DATE OF NAME CHANGE: 19961031 4/A 1 form4a.xml PRIMARY DOCUMENT X0306 4/A 2021-05-04 2021-05-06 0000944148 CBIZ, Inc. CBZ 0001641312 Kouzelos Michael P C/O CBIZ, INC. 6050 OAK TREE BOULEVARD SOUTH CLEVELAND OH 44131 1 President, Employee Services Common Stock 2022-05-04 4 M 0 24728 10.35 A 297703 D Common Stock 2021-05-04 4 S 0 24728 34.1865 D 259456 D Common Stock 2021-05-05 4 M 0 5097 10.35 A 264553 D Common Stock 2021-05-05 4 S 0 5097 33.8585 D 259456 D Employee Stock Option 10.35 2022-05-04 4 M 0 24728 0 D 2017-05-10 2022-05-10 Common Stock 24728 5097 D Employee Stock Option 10.35 2021-05-05 4 M 0 5097 0 D 2017-05-10 2022-05-10 Common Stock 5097 0 D Consists of Options granted 05/10/2016, vesting in 25% increments each year beginning 05/10/2017, and expiring on 05/10/2022. Weighted average sale price of price range between $33.83 and $34.29. Will provide upon request number of shares sold at each separate price. Weighted average sale price of price range between $33.63 and $34.12. Will provide upon request number of shares sold at each separate price. On May 6, 2021, the Corporate Secretary filed a Form 4 that inadvertently failed to report the exercise and sale of 24,728 options on May 4, 2021. /s/ Michael W Gleespen, attorney-in-fact for Michael P Kouzelos 2022-03-14