Form Type: 4

SEC EDGAR Link
Accession Number:0001062993-21-005762
Date:2021-06-15
Issuer: ALLIANCE DATA SYSTEMS CORP (ADS)
Original Submission Date:

Reporting Person:

THERIAULT TIMOTHY J
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 1,213 a $0.00 8,294 direct
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 1,213 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) 1,500 unrestricted shares; (b) 447 unvested restricted stock units granted 10/17/16; (c) 564 unvested restricted stock units granted 6/26/17; (d) 655 unvested restricted stock units granted 6/25/18; (e) 959 unvested restricted stock units granted 6/24/19; (f) 2,956 unvested restricted stock units granted 6/22/20; and (g) the new grant for 1,213 restricted stock units.
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