Statement of Changes in Beneficial Ownership (4)
May 19 2020 - 4:49PM
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
*
Rosen Andrea |
2. Issuer Name and Ticker or Trading Symbol
Ceridian HCM Holding Inc.
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CDAY
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
C/O CERIDIAN HCM HOLDING INC., 3311 EAST OLD SHAKOPEE ROAD |
3. Date of Earliest Transaction
(MM/DD/YYYY)
5/15/2020 |
(Street)
MINNEAPOLIS, MN 55425
(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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Common Stock | 5/15/2020 | | F | | 1634 (1) | D | $63.28 | 5992 (2) | D | |
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 |
Option (right to buy) | $65.26 | | | | | | | (3) | 5/8/2030 | Common Stock | 9532 | | 9532 | D | |
Explanation of Responses: |
(1) | 1,634 shares forfeited to pay withholding taxes in connection with vesting and issuance of 2,991 shares of the May 15, 2019 Restricted Stock Unit Award. |
(2) | Includes (i) 2,202 shares of common stock and (ii) 3,790 shares issuable pursuant to Restricted Stock Units, granted on August 10, 2018, that vest in two annual installments beginning on August 10, 2020. |
(3) | These options, granted on May 8, 2020, vest and become exercisable as to 25% of the options on the last day of each three-month period commencing on the date of grant. |
Remarks: For Andrea Rosen pursuant to the Power of Attorney previously filed. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Rosen Andrea C/O CERIDIAN HCM HOLDING INC. 3311 EAST OLD SHAKOPEE ROAD MINNEAPOLIS, MN 55425 | X |
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Signatures
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/s/ William E. McDonald | | 5/19/2020 |
**Signature of Reporting Person | Date |
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