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 | ||||
Restricted Stock Units | Â (1) | Â (1) | Common Stock | 2,698 | $ 0 | D | Â |
Restricted Stock Unit | Â (2) | Â (2) | Common Stock | 714 | $ 0 | D | Â |
Stock Option (right to buy) | Â (3) | Â (3) | Common Stock | 2,107 | $ 104.95 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Cooper David G C/O WEX INC. 97 DARLING AVENUE SOUTH PORTLAND, ME 04106 |
 |  |  Chief Technology Officer |  |
/s/ Gregory Wiessner, as attorney-in-fact for David Cooper | 04/25/2017 | |
**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) | Restricted stock units will vest with respect to one third of the underlying shares on each of December 15, 2017, December 15, 2018 and December 15, 2019. |
(2) | Restricted stock units will vest with respect to one third of the underlying shares on each of March 20, 2018, March 20, 2019 and March 20, 2020. |
(3) | This stock option will vest with respect to one third of these shares on each of 3/20/2018, 3/20/2019 and 3/20/2020. |
 Remarks: EXHIBIT LIST: EX-24 Power of Attorney D.Cooper |