Sec Form 4 Filing - GEORGE MICHAEL A @ Qurate Retail, Inc. - 2021-12-10

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, 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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1. Name and Address of Reporting Person
GEORGE MICHAEL A
2. Issuer Name and Ticker or Trading Symbol
Qurate Retail, Inc. [ QRTEA]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
12300 LIBERTY BOULEVARD
3. Date of Earliest Transaction (MM/DD/YY)
12/10/2021
(Street)
ENGLEWOOD, CO80112
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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
Series A Common Stock 12/10/2021 M 423,403 A $ 0( 1 ) 2,236,332 D
Series A Common Stock 12/10/2021 F 184,096 D $ 8.12 2,052,236 D
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: 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
Restricted Stock Units - QRTEA ( 2 ) 12/10/2021 M 423,403 12/10/2021 12/10/2021 Series A Common Stock 423,403 $ 0 0 D
Stock Option (right to buy) - QRTEA $ 10.77( 3 ) ( 2 ) 08/15/2025 Series A Common Stock 1,184,334( 3 ) 1,184,334( 3 ) D
Stock Option (right to buy) - QRTEA $ 12.62( 4 ) ( 2 ) 12/31/2022 Series A Common Stock 3,458,652( 4 ) 3,458,652( 4 ) D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
GEORGE MICHAEL A
12300 LIBERTY BOULEVARD
ENGLEWOOD, CO80112
X
Signatures
/s/ Brittany A. Uthoff as Attorney-in-Fact for Michael A. George 12/14/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Each restricted stock unit converted into one share of Series A Common Stock.
( 2 )Each restricted stock unit represents a contingent right to receive one share of Series A Common Stock.
( 3 )This stock option award was previously reported as an option relating to 947,754 shares of the Issuer's Series A common stock at an exercise price of $13.51 per share and was adjusted as a result of the Dividends (as defined in the Remarks section). In connection with the Dividends, all common stock options held by the reporting person were adjusted pursuant to the anti-dilution provisions of the incentive plan under which such award was granted, such that the reporting person received an adjustment to (i) the exercise price and (ii) the number of shares relating to such option. These adjustments were approved by the Issuer's board of directors pursuant to Rule 16b-3 of the Securities Exchange Act of 1934, as amended ("Rule 16b-3").
( 4 )This stock option award was previously reported as an option relating to 2,757,029 shares of the Issuer's Series A common stock at an exercise price of $15.84 per share and was adjusted as a result of the Dividends. In connection with the Dividends, all common stock options held by the reporting person were adjusted pursuant to the anti-dilution provisions of the incentive plan under which such award was granted, such that the reporting person received an adjustment to (i) the exercise price and (ii) the number of shares relating to such option. These adjustments were approved by the Issuer's board of directors pursuant to Rule 16b-3.

Remarks:
On November 20, 2020, the Issuer announced that its board of directors declared a special cash dividend in the amount of $1.50 per common share payable on December 7, 2020, to all holders of record of the Issuer's common stock at the close of business on November 30, 2020 (the "2020 Dividend"). On November 4, 2021, the Issuer announced that its board of directors declared a special cash dividend in the amount of $1.25 per common share payable on November 22, 2021, to all holders of record of the Issuer's common stock at the close of business on November 15, 2021 (the "2021 Dividend" and together with the 2020 Dividend, the "Dividends").

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