Flint A. Lane - 16 Dec 2022 Form 4 Insider Report for BTRS Holdings Inc.

Source evidence Original filing metadata and source links for verification. 4 source fields
SEC form
4
Accepted by SEC
20 Dec 2022, 17:45:16 UTC
Prior SEC filing
15 Mar 2022
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Aimie Marie Killeen, attorney-in-fact

Key filing fact

Flint A. Lane filed Form 4 for BTRS Holdings Inc. on 20 Dec 2022.

Key facts

  • This page summarizes Flint A. Lane's Form 4 filing for BTRS Holdings Inc..
  • 8 reported transactions and 4 derivative rows are listed below.
  • Accepted by SEC: 20 Dec 2022, 17:45.

Change

  • Previous filing in this sequence was filed on 15 Mar 2022.
  • Current net transaction value: -$248,509,180.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

BTRS transaction

Class 1 Common Stock

Other

Transaction value
$43,881,260
Shares
-4,619,080
Change %
-25%
Price
$9.50
Shares after
13,700,315
Date
16 Dec 2022
Ownership
Direct
Footnotes
F1, F2
BTRS transaction

Class 1 Common Stock

Other

Transaction value
$18,618,736
Shares
-1,959,867
Change %
-25%
Price
$9.50
Shares after
5,879,599
Date
16 Dec 2022
Ownership
By GRAT
Footnotes
F1, F2, F3
BTRS transaction

Class 1 Common Stock

Disposed to Issuer

Transaction value
$130,152,992
Shares
-13,700,315
Change %
-100%
Price
$9.50
Shares after
0
Date
16 Dec 2022
Ownership
Direct
Footnotes
F1, F4
BTRS transaction

Class 1 Common Stock

Disposed to Issuer

Transaction value
$55,856,190
Shares
-5,879,599
Change %
-100%
Price
$9.50
Shares after
0
Date
16 Dec 2022
Ownership
By GRAT
Footnotes
F1, F3, F4

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

BTRS transaction Derivative

Stock Option (right to buy)

Disposed to Issuer

Transaction value
$0
Shares
-62,647
Change %
-100%
Price
$0.000000*
Shares after
0
Date
16 Dec 2022
Ownership
Direct
Underlying class
Class 1 Common Stock
Underlying amount
62,647
Exercise price
$1.27
Footnotes
F5
BTRS transaction Derivative

Stock Option (right to buy)

Disposed to Issuer

Transaction value
$0
Shares
-89,146
Change %
-100%
Price
$0.000000*
Shares after
0
Date
16 Dec 2022
Ownership
Direct
Underlying class
Class 1 Common Stock
Underlying amount
89,146
Exercise price
$1.88
Footnotes
F5
BTRS transaction Derivative

Stock Option (right to buy)

Disposed to Issuer

Transaction value
$0
Shares
-361,413
Change %
-100%
Price
$0.000000*
Shares after
0
Date
16 Dec 2022
Ownership
Direct
Underlying class
Class 1 Common Stock
Underlying amount
361,413
Exercise price
$1.93
Footnotes
F5
BTRS transaction Derivative

Stock Option (right to buy)

Disposed to Issuer

Transaction value
$0
Shares
-1,000,000
Change %
-100%
Price
$0.000000*
Shares after
0
Date
16 Dec 2022
Ownership
Direct
Underlying class
Class 1 Common Stock
Underlying amount
1,000,000
Exercise price
$16.80
Footnotes
F6
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Section 16 status

Flint A. Lane is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may still apply in specific circumstances.

Explanation of responses 6 footnotes

Footnote F1

On December 16, 2022, Bullseye Finco, Inc. (the "Buyer"), acquired the Issuer pursuant to that certain Agreement and Plan of Merger entered into by and among the Issuer, Buyer, and Bullseye Merger Sub, Inc., a direct, wholly owned subsidiary of Buyer ("Merger Sub"), dated as of September 28, 2022 (the "Merger Agreement"). In accordance with the Merger Agreement, Merger Sub merged with and into the Issuer, with the Issuer surviving such merger as a wholly-owned subsidiary of Buyer (the "Merger").

Footnote F2

Pursuant to a Rollover and Contribution Agreement ("Rollover Contribution Agreement"), by and between Bullseye Holdings, LP ("Parent") the Reporting Person, and the GRAT (as defined in footnote 4 below), immediately prior to the effective time of the Merger (the "Effective Time") the Reporting Person and GRAT contributed these shares of common stock to Parent in exchange for a number of Parent's limited partnership interests calculated pursuant to the Rollover Contribution Agreement, at a value of $9.50 per share.

Footnote F3

These Shares are held by the Flint Lane 2009 Grantor Retained Annuity Trusts (the "GRAT") for the benefit of the Reporting Person's children. The Reporting Person's spouse is trustee of each trust. The Reporting Person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.

Footnote F4

At the Effective Time, pursuant to the Merger Agreement, each issued and outstanding share of the Issuer's common stock (other than certain excluded shares) automatically converted into the right to receive $9.50 in cash (the "Merger Consideration"). In addition, at the Effective Time, pursuant to the Merger Agreement, each Restricted Stock Unit ("RSU") (other than certain excluded RSUs) whether or not vested, outstanding immediately prior to the Effective Time was accelerated (if unvested) and was cancelled and converted into the right to receive an amount in cash, without interest, and subject to any applicable withholding taxes, equal to the product of (i) the total number of shares of Issuer common stock subject to the RSU multiplied by (ii) the Merger Consideration.

Footnote F5

At the Effective Time, pursuant to the Merger Agreement, each oustanding stock option with an exercise price less than $9.50 outstanding immediately before the Effective Time was accelerated and became fully vested and exercisable and was cancelled and converted into the right to receive an amount in cash, without interest, and subject to any applicable withholding taxes, equal to the product of (i) the excess, if any, of (A) the Merger Consideration over (B) the per-share exercise price for such option multiplied by (ii) the total number of shares of Issuer common stock underlying such option.

Footnote F6

At the Effective Time, pursuant to the Merger Agreement, each outstanding stock option with an exercise price equal to or greater than $9.50, was cancelled without any consideration in respect of such cancelled option.

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