UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
FIRSTCASH, INC 690 E. LAMAR BLVD., SUITE 400 ARLINGTON, TX 76011 |
 |  X |  |  |
CSH Holdings LLC 1600 WEST TH STREET FORT WORTH, TX 76102 |
 |  X |  |  |
Frontier Merger Sub, LLC 690 E. LAMAR BLVD., SUITE 400 ARLINGTON, TX 76011 |
 |  X |  |  |
/s/ R. Douglas Orr, Authorized Officer for FirstCash, Inc., Frontier Merger Sub, LLC and CSH Holdings LLC | 09/09/2016 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | On September 1, 2016, FirstCash, Inc. ("FirstCash") completed a merger of equals business combination (the "Merger") with Cash America International, Inc. ("Cash America") pursuant to a merger agreement (the "Merger Agreement") by and among FirstCash, Cash America, and Frontier Merger Sub, LLC ("Merger Sub"). Pursuant to the Merger Agreement, Cash America merged with and into Merger Sub, with Merger Sub continuing as the surviving entity following the Merger, and CSH Holdings LLC ("CSH Holdings") continuing as a wholly-owned subsidiary of Merger Sub (prior to the Merger, CSH Holdings was a wholly-owned subsidiary of Cash America). |
(2) | These shares are owned directly by CSH Holdings, which is a wholly-owned subsidiary of Merger Sub, which is a wholly-owned subsidiary of FirstCash. |
(3) | These shares are owned directly by Merger Sub, which is a wholly-owned subsidiary of FirstCash. |