Sec Form 4 Filing - Blackstone NCR Holdco L.P. @ NCR CORP - 2017-03-17

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
Blackstone NCR Holdco L.P.
2. Issuer Name and Ticker or Trading Symbol
NCR CORP [ NCR]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O THE BLACKSTONE GROUP L.P., 345 PARK AVENUE
3. Date of Earliest Transaction (MM/DD/YY)
03/17/2017
(Street)
NEW YORK, NY10154
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ 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
Common Stock 03/17/2017 C 2,236,916 ( 1 ) A 2,236,916 I See Footnotes ( 2 ) ( 6 ) ( 7 ) ( 8 ) ( 9 ) ( 10 )
Common Stock 03/17/2017 C 4,438 ( 1 ) A 4,438 I See Footnotes ( 3 ) ( 6 ) ( 7 ) ( 8 ) ( 9 ) ( 10 )
Common Stock 03/17/2017 C 758,729 ( 1 ) A 758,729 I See Footnotes ( 4 ) ( 6 ) ( 7 ) ( 8 ) ( 9 ) ( 10 )
Common Stock 03/17/2017 C 2,670 ( 1 ) A 2,670 I See Footnotes ( 5 ) ( 6 ) ( 7 ) ( 8 ) ( 9 ) ( 10 )
Common Stock 03/17/2017 S 2,236,916 D $ 48.47 0 I See Footnotes ( 2 ) ( 6 ) ( 7 ) ( 8 ) ( 9 ) ( 10 )
Common Stock 03/17/2017 S 4,438 D $ 48.47 0 I See Footnotes ( 3 ) ( 6 ) ( 7 ) ( 8 ) ( 9 ) ( 10 )
Common Stock 03/17/2017 S 758,729 D $ 48.47 0 I See Footnotes ( 4 ) ( 6 ) ( 7 ) ( 8 ) ( 9 ) ( 10 )
Common Stock 03/17/2017 S 2,670 D $ 48.47 0 I See Footnotes ( 5 ) ( 6 ) ( 7 ) ( 8 ) ( 9 ) ( 10 )
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
Series A Convertible Preferred Stock ( 1 ) 03/17/2017 C 67,046 ( 1 ) ( 1 ) Common Stock ( 1 ) ( 1 ) 587,664 ( 1 ) I See Footnotes ( 2 ) ( 6 ) ( 7 ) ( 8 ) ( 9 ) ( 10 )
Series A Convertible Preferred Stock ( 1 ) 03/17/2017 C 133 ( 1 ) ( 1 ) Common Stock ( 1 ) ( 1 ) 1,167 ( 1 ) I See Footnotes ( 3 ) ( 6 ) ( 7 ) ( 8 ) ( 9 ) ( 10 )
Series A Convertible Preferred Stock ( 1 ) 03/17/2017 C 22,741 ( 1 ) ( 1 ) Common Stock ( 1 ) ( 1 ) 199,326 ( 1 ) I See Footnotes ( 4 ) ( 6 ) ( 7 ) ( 8 ) ( 9 ) ( 10 )
Series A Convertible Preferred Stock ( 1 ) 03/17/2017 C 80 ( 1 ) ( 1 ) Common Stock ( 1 ) ( 1 ) 698 ( 1 ) I See Footnotes ( 5 ) ( 6 ) ( 7 ) ( 8 ) ( 9 ) ( 10 )
Series A Convertible Preferred Stock ( 1 ) 03/17/2017 S 254,776 ( 1 ) ( 1 ) Common Stock ( 1 ) $ 1,594.98 332,888 ( 1 ) I See Footnotes ( 2 ) ( 6 ) ( 7 ) ( 8 ) ( 9 ) ( 10 )
Series A Convertible Preferred Stock ( 1 ) 03/17/2017 S 506 ( 1 ) ( 1 ) Common Stock ( 1 ) $ 1,594.98 661 ( 1 ) I See Footnotes ( 3 ) ( 6 ) ( 7 ) ( 8 ) ( 9 ) ( 10 )
Series A Convertible Preferred Stock ( 1 ) 03/17/2017 S 86,416 ( 1 ) ( 1 ) Common Stock ( 1 ) $ 1,594.98 112,910 ( 1 ) I See Footnotes ( 4 ) ( 6 ) ( 7 ) ( 8 ) ( 9 ) ( 10 )
Series A Convertible Preferred Stock ( 1 ) 03/17/2017 S 302 ( 1 ) ( 1 ) Common Stock ( 1 ) $ 1,594.98 396 ( 1 ) I See Footnotes ( 5 ) ( 6 ) ( 7 ) ( 8 ) ( 9 ) ( 10 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Blackstone NCR Holdco L.P.
C/O THE BLACKSTONE GROUP L.P.
345 PARK AVENUE
NEW YORK, NY10154
X
BMA VI L.L.C.
C/O THE BLACKSTONE GROUP L.P.
345 PARK AVENUE
NEW YORK10154
X
Blackstone BCP VI SBS ESC Holdco L.P.
C/O THE BLACKSTONE GROUP L.P.
345 PARK AVENUE,
NEW YORK, NY10154
X
BTO NCR Holdings L.P.
C/O THE BLACKSTONE GROUP L.P.
345 PARK AVENUE
NEW YORK, NY10154
X
BTO NCR Holdings - ESC L.P.
C/O THE BLACKSTONE GROUP L.P.
345 PARK AVENUE
NEW YORK, NY10154
X
Blackstone NCR Holdco GP L.L.C.
C/O THE BLACKSTONE GROUP L.P.
345 PARK AVENUE
NEW YORK, NY10154
X
Blackstone Management Associates VI L.L.C.
C/O THE BLACKSTONE GROUP L.P.
345 PARK AVENUE
NEW YORK, NY10154
X
BTO Holdings Manager L.L.C.
C/O THE BLACKSTONE GROUP L.P.
345 PARK AVENUE
NEW YORK, NY10154
X
Blackstone Tactical Opportunities Associates L.L.C.
C/O THE BLACKSTONE GROUP L.P.
345 PARK AVENUE
NEW YORK, NY10154
X
BTOA L.L.C.
C/O THE BLACKSTONE GROUP L.P.
345 PARK AVENUE
NEW YORK, NY10154
X
Signatures
BLACKSTONE NCR HOLDCO L.P., By: Blackstone NCR Holdco GP L.L.C., its general partner, By: Blackstone Management Associates VI L.L.C., its managing member, By: BMA VI L.L.C., its sole member, By: /s/ John G. Finley Title: Chief Legal Officer 03/20/2017
Signature of Reporting Person Date
BLACKSTONE BCP VI SBS ESC HOLDCO L.P., By: BCP VI Side-by-Side GP L.L.C., its general partner, By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer 03/20/2017
Signature of Reporting Person Date
BLACKSTONE NCR HOLDCO GP L.L.C., By: Blackstone Management Associates VI L.L.C., its managing member, By: BMA VI L.L.C., its sole member, By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer 03/20/2017
Signature of Reporting Person Date
BLACKSTONE MANAGEMENT ASSOCIATES VI L.L.C., By: BMA VI L.L.C., its sole member, By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer 03/20/2017
Signature of Reporting Person Date
BMA VI L.L.C., By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer 03/20/2017
Signature of Reporting Person Date
BTO NCR HOLDINGS L.P., By: BTO Holdings Manager L.L.C., its general partner, By: Blackstone Tactical Opportunities Associates L.L.C., its managing member, By: BTOA L.L.C., its sole member, By: /s/ Christopher J. James, Title: Authorized Person 03/20/2017
Signature of Reporting Person Date
BTO NCR HOLDINGS - ESC L.P., By: BTO Holdings Manager L.L.C., its general partner, By: Blackstone Tactical Opportunities Associates L.L.C., its managing member, By: BTOA L.L.C., its sole member, By: /s/ Christopher J. James, Title: Authorized Person 03/20/2017
Signature of Reporting Person Date
BTO HOLDINGS MANAGER L.L.C., By: /s/ Christopher J. James, Name: Christopher J. James, Title: Authorized Person 03/20/2017
Signature of Reporting Person Date
BLACKSTONE TACTICAL OPPORTUNITIES ASSOCIATES L.L.C., By: BTOA L.L.C., its sole member, By: /s/ Christopher J. James, Name: Christopher J. James, Title: Authorized Person 03/20/2017
Signature of Reporting Person Date
BTOA L.L.C., By: /s/ Christopher J. James, Name: Christopher J. James, Title: Authorized Person 03/20/2017
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Each share of Series A Convertible Preferred Stock, par value $0.01 per share (the "Preferred Stock"), of NCR Corporation (the "Issuer") may at any time be converted into 33.333 shares of common stock of the Issuer, having par value of $0.01 per share (the "Common Stock"), plus any accrued and unpaid dividends and subject to customary anti-dilution and other adjustments. The Preferred Stock has no expiration date.
( 2 )These securities are directly held by Blackstone NCR Holdco L.P. ("NCR Holdco").
( 3 )These securities are directly held by Blackstone BCP VI SBS ESC Holdco L.P. ("BCP VI").
( 4 )These securities are directly held by BTO NCR Holdings L.P. ("BTO NCR").
( 5 )These securities are directly held by BTO NCR Holdings - ESC L.P. ("BTO ESC" and, together with NCR Holdco, BCP VI and BTO NCR, the "Partnerships").
( 6 )The general partner of NCR Holdco is Blackstone NCR Holdco GP L.L.C. The managing member of Blackstone NCR Holdco GP L.L.C. is Blackstone Management Associates VI L.L.C. The sole member of Blackstone Management Associates VI L.L.C. is BMA VI L.L.C. The general partner of BCP VI is BCP VI Side-by-Side GP L.L.C. The general partner of each of BTO NCR and BTO ESC is BTO Holdings Manager L.L.C. The managing member of BTO Holdings Manager L.L.C. is Blackstone Tactical Opportunities Associates L.L.C. The sole member of Blackstone Tactical Opportunities Associates L.L.C. is BTOA L.L.C. The sole member of BCP VI Side-by-Side GP L.L.C., and the managing member of BTOA L.L.C. and BMA VI L.L.C., is Blackstone Holdings III L.P.
( 7 )The general partner of Blackstone Holdings III L.P. is Blackstone Holdings III GP L.P. The general partner of Blackstone Holdings III GP L.P. is Blackstone Holdings III GP Management L.L.C. The sole member of Blackstone Holdings III GP Management L.L.C. is The Blackstone Group L.P. The general partner of The Blackstone Group L.P. is Blackstone Group Management L.L.C. Blackstone Group Management L.L.C. is wholly owned by Blackstone's senior managing directors and controlled by its founder, Stephen A. Schwarzman.
( 8 )Information with respect to each of the Reporting Persons is given solely by such Reporting Person, and no Reporting Person has responsibility for the accuracy or completeness of information supplied by another Reporting Person.
( 9 )Each of such Blackstone entities and Mr. Schwarzman may be deemed to beneficially own the securities of the Issuer beneficially owned by the Partnerships directly or indirectly controlled by it or him, but each (other than the Partnerships to the extent of their direct holdings) disclaims beneficial ownership of such securities, except to the extent of such Reporting Person's pecuniary interest therein. The filing of this statement shall not be deemed to be an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the Reporting Persons are the beneficial owners of any securities reported herein.
( 10 )This report is filed on behalf of the following entities: Blackstone NCR Holdco L.P., Blackstone BCP VI SBS ESC Holdco L.P., BTO NCR Holdings L.P., BTO NCR Holdings - ESC L.P., Blackstone NCR Holdco GP L.L.C., Blackstone Management Associates VI L.L.C., BMA VI L.L.C., BTO Holdings Manager L.L.C., Blackstone Tactical Opportunities Associates L.L.C., BTOA L.L.C., BCP VI Side-by-Side GP L.L.C., Blackstone Holdings III L.P., Blackstone Holdings III GP L.P., Blackstone Holdings III GP Management L.L.C., The Blackstone Group L.P., Blackstone Group Management L.L.C. and Stephen A. Schwarzman. As there are more than 10 joint filers for this report, a separate report has been filed for Blackstone Holdings III L.P., BCP VI Side-by-Side GP L.L.C., Blackstone Holdings III GP L.P., Blackstone Holdings III GP Management L.L.C., The Blackstone Group L.P., Blackstone Group Management L.L.C. and Stephen A. Schwarzman, which relates to the same transaction.

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