SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
RILEY RICHARD T

(Last) (First) (Middle)
C/O CIMPRESS
275 WYMAN STREET

(Street)
WALTHAM MA 02451

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CIMPRESS N.V. [ CMPR ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) X Other (specify below)
Chairman of Supervisory Board
3. Date of Earliest Transaction (Month/Day/Year)
10/02/2018
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Ordinary Shares 10/02/2018 M 1,919 A $54.46 22,013 D
Ordinary Shares 10/02/2018 M 2,443 A $40.99 24,456 D
Ordinary Shares 10/02/2018 M 2,690 A $35.77 27,146 D
Ordinary Shares 10/02/2018 M 3,175 A $30.3 30,321 D
Ordinary Shares 10/02/2018 M 1,776 A $54.08 32,097 D
Ordinary Shares 10/02/2018 M 1,451 A $68.38 33,548 D
Ordinary Shares 10/02/2018 M 1,199 A $81.52 34,747 D
Ordinary Shares 38,590 I By Grantor Retained Annuity Trusts
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Share Option (right to buy) $54.46 10/02/2018 M 1,919 02/17/2010(1) 11/17/2019 Ordinary Shares 1,919 $0 0 D
Share Option (right to buy) $40.99 10/02/2018 M 2,443 02/12/2011(1) 11/12/2020 Ordinary Shares 2,443 $0 0 D
Share Option (right to buy) $35.77 10/02/2018 M 2,690 02/03/2012(1) 11/03/2021 Ordinary Shares 2,690 $0 0 D
Share Option (right to buy) $30.3 10/02/2018 M 3,175 02/08/2013(1) 11/08/2022 Ordinary Shares 3,175 $0 0 D
Share Option (right to buy) $54.08 10/02/2018 M 1,776 02/07/2014(1) 11/07/2023 Ordinary Shares 1,776 $0 0 D
Share Option (right to buy) $68.38 10/02/2018 M 1,451 02/12/2015(1) 11/12/2024 Ordinary Shares 1,451 $0 0 D
Share Option (right to buy) $81.52 10/02/2018 M 1,199 02/17/2016(1) 11/17/2025 Ordinary Shares 1,199 $0 110 D
Explanation of Responses:
1. This option vests at a rate of 8.33% of the original number of ordinary shares subject to the option each successive three-month period following the grant date until the third anniversary of the grant date.
Remarks:
/s/Kathryn L. Leach as Attorney in Fact for Richard T. Riley 10/04/2018
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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