Form Type: 4

SEC EDGAR Link
Accession Number:0001062993-21-005759
Date:2021-06-15
Issuer: ALLIANCE DATA SYSTEMS CORP (ADS)
Original Submission Date:

Reporting Person:

GERSPACH JOHN C
3075 LOYALTY CIRCLE
COLUMBUS, OH 43219

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
COMMON STOCK 2021-06-15 A 1,930 a $0.00 12,082 direct
COMMON STOCK 2021-06-15 0 $0.00 6,000 indirect f3
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
Footnotes
IDfootnote
f1 the new grant is for 1,930 shares of common stock represented by restricted stock units. the restrictions on 100% of the shares will lapse on the earlier of (i) 6/15/31 or (ii) termination of the director's service on the company's board of directors, but in any case not earlier than june 15, 2022.
f2 the total amount of securities beneficially owned includes: (a) 5,000 unrestricted shares; (b) 5,152 unvested restricted stock units granted 6/22/20; and (c) the new grant for 1,930 restricted stock units.
f3 the shares are held by the gerspach 2020 gst exempt trust, for which the reporting person's spouse serves as trustee.
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