Statement of Changes in Beneficial Ownership (4)
03 Março 2020 - 6:54PM
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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OMB Number:
3235-0287
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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
1. Name and Address of Reporting Person
*
Tolley David |
2. Issuer Name and Ticker or Trading Symbol
Intelsat S.A.
[
I
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) EVP & Chief Financial Officer |
(Last)
(First)
(Middle)
C/O INTELSAT S.A., 4, RUE ALBERT BORSCHETTE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
3/1/2020 |
(Street)
LUXEMBOURG, N4 L-1246
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security (Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. Code (Instr. 8)
|
4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
|
5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
|
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
|
7. Nature of Indirect Beneficial Ownership (Instr. 4)
|
Code
|
V
|
Amount
|
(A) or (D)
|
Price
|
Common Shares | 3/1/2020 | | M | | 12666 | A | (1) | 112666 | D | |
Common Shares | 3/1/2020 | | F | | 5713 | D | $3.86 | 106953 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
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 |
Restricted Share Units | (1) | 3/1/2020 | | A | | 67500 | | (2) | (2) | Common Shares | 67500 | (1) | 67500 | D | |
Restricted Share Units | (1) | 3/1/2020 | | M | | | 12666 | (3) | (3) | Common Shares | 38000 | (1) | 25334 | D | |
Restricted Share Units | (1) | | | | | | | (4) | (4) | Common Shares | 100000 | | 100000 | D | |
Explanation of Responses: |
(1) | Each restricted share unit ("RSU") represents a contingent right to receive one Common Share. |
(2) | The RSUs will vest in three equal annual installments, beginning March 1, 2021. |
(3) | The RSUs vest in three equal annual installments, beginning March 1, 2020. |
(4) | Fifty percent (50%) of the RSUs will vest on July 1, 2020, twenty-five percent (25%) on July 1, 2021, and the remaining twenty-five percent (25%) on July 1, 2022. |
Reporting Owners
|
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Tolley David C/O INTELSAT S.A. 4, RUE ALBERT BORSCHETTE LUXEMBOURG, N4 L-1246 |
|
| EVP & Chief Financial Officer |
|
Signatures
|
/s/ Sajid Ajmeri as attorney-in-fact | | 3/3/2020 |
**Signature of Reporting Person | Date |
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