$CTLP·4

USA TECHNOLOGIES INC · Jul 5, 3:04 PM ET

USA TECHNOLOGIES INC 4

4 · USA TECHNOLOGIES INC · Filed Jul 5, 2011

Insider Transaction Report

Form 4
Period: 2011-06-30
Transactions
  • Gift

    Common Stock

    [F1]
    2011-06-3060,716161,542 total
  • Other

    Common Stock

    [F2]
    2011-06-30+9,602171,144 total
  • Other

    Common Stock

    [F2]
    2011-06-309,60225,827 total(indirect: By Trust)
Holdings
  • Common Stock

    (indirect: By Spouse)
    2,000
  • Series A Convertible Preferred Stock

    [F3]
    From: 2008-10-10Common Stock
    35,000
  • Warrants

    Exercise: $2.20From: 2010-01-01Exp: 2011-12-31Common Stock (15,000 underlying)
    15,000
  • Non-Qualified Stock Option (Right to Buy)

    [F4]
    Exercise: $7.50Common Stock (50,000 underlying)
    50,000
Footnotes (4)
  • [F1]Represents 30,358 shares of common stock gifted to each of his sons, Ronald and Burton.
  • [F2]Represents shares distributed to Mr. Jensen from the George R. Jensen, Jr. Grantor Retained Unitrust dated July 16, 2003 pursuant to the terms thereof. The distribution represents an exempt transaction that is solely a change in the form of ownership of the shares, and not an acquisition or sale of any shares for value.
  • [F3]Each share of Series A Convertible Preferred Stock is convertible into a hundredth of a share of Common Stock, and does not have an expiration date.
  • [F4]The options may be excercised at any time within five years of vesting. The options vested as follows: 25,000 on 6/30/07 and 25,000 on 6/30/08.
Signature
/s/ George R. Jensen, Jr.|2011-07-05

Documents

1 file
  • 4
    doc1.xmlPrimary

    FORM 4