Statement of Changes in Beneficial Ownership (4)
February 23 2021 - 3:40PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Jones Stacey |
2. Issuer Name and Ticker or Trading Symbol
DESTINATION XL GROUP, INC.
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DXLG
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chief Human Resources Officer |
(Last)
(First)
(Middle)
C/O DESTINATION XL GROUP, INC., 555 TURNPIKE STREET |
3. Date of Earliest Transaction
(MM/DD/YYYY)
2/21/2021 |
(Street)
CANTON, MA 02021
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Non-Qualified Stock Options (Right to Buy) | $0.6555 | 2/21/2021 | | A | | 24904 | | (1) | 2/21/2031 | Common Stock | 24904 | $0 | 24904 | D | |
Restricted Stock Units | $0 | 2/21/2021 | | A | | 8054 | | (2) | 2/21/2031 | Common Stock | 8054 (3) | $0 | 8054 | D | |
Explanation of Responses: |
(1) | The non-qualified stock options ("Stock Options") represents the time-based portion of the 2020-2022 Long-Term Incentive Plan award to the Reporting Person. The Stock Options vest and become exercisable in four equal installments on February 21, 2022, April 1, 2022, April 1, 2023 and April 1, 2024. |
(2) | The Restricted Stock Units ("RSUs") represent the time-based portion of the 2019-2021 Long-Term Incentive Plan award to the Reporting Person. The RSUs vest and become exercisable in three equal installments on February 21, 2022, April 1, 2022 and April 1, 2023. |
(3) | Each RSU, as defined in the Company's 2016 Incentive Compensation Plan, represents a contingent right to receive one share of DXLG common stock. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Jones Stacey C/O DESTINATION XL GROUP, INC. 555 TURNPIKE STREET CANTON, MA 02021 |
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| Chief Human Resources Officer |
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Signatures
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Stacey Jones | | 2/23/2021 |
**Signature of Reporting Person | Date |
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