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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3235-0287 |
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0.5 |
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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*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
PITNEY BOWES INC /DE/
[ PBI ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year)
04/30/2021
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
| X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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| 1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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| Code |
V |
Amount |
(A) or (D) |
Price |
| Common Stock |
04/30/2021 |
|
A |
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33,784 |
A |
$0.00
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92,663.3397 |
D |
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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|---|
| 1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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| Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Restricted Stock Units |
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04/30/2021 |
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M |
|
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33,784 |
|
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Common Stock |
33,784 |
$0.00
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9,888 |
D |
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| Restricted Stock Units |
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05/03/2021 |
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A |
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13,495 |
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|
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Common Stock |
0.00 |
$0.00
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23,383 |
D |
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| Explanation of Responses: |
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| Remarks: |
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/s/ George Brereton - POA for Anne Busquet |
05/04/2021 |
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** 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. |
| 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 Number. |
POWER OF ATTORNEY
Know All By These Present, that the undersigned
constitutes and appoints George Brereton
and Thomas Seitardis each of them acting
individually, as true and lawful attorneys-in-fact
and agents, with full power of substitution
and resubstitution, for the undersigned and in the
undersigned's name, place and stead, in any and all
capacities, to:
(i) Sign any Form 3, 4 or 5, and any and
amendedments thereto, in accordance
with Sec 16(a) of the Securities Act of
1934 ("Exchange Act")and the regulations
thereunder, and
(ii) File such Forms 3, 4, 5, or amendments
thereto, and all documents in connection
therewith with the Securities and Exchange
Commission and any applicable stock exchange.
The undersigned further grants unto said attorneys-
in-fact and agents, and each of them, full power and
authhority to do and perform each and every act and
thing requisite and necessary to be done with respect
to the filing of the Forms 3, 4 and 5 or any amendments
thereto as fully to all intents and purposes as the
undersigned might or could do in person, hereby
ratifying and confirming all that said attorneys-in-
fact and agents of any of them, or their substitutes,
may lawfully do or cause to be done by virtue hereof.
The undersigned acknowledges that the foregoing
attorneys-in-fact, in serving such a capacity, at
the request of the undersigned, are not assuming any
of the undersigned's responsibilities to comply
with Section 16 of the Exchange Act.
This Power of Attorney and authorization shall
remain in effect until the undersigned files
with the Securities and Exchange Commission a notice
of revocation of this Power of Attorney by
attaching such notice to the undersigned's Form 3,
Form 4 or Form 5.
Executed on this 27th day of December, 2018.
Anne Busquet
/s/ Anne Busquet
