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| 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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
| ( 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 shares of common stock of the Issuer, having par value of $0.01 per share (the "Common Stock"), at a conversion price of $30.00 per share or a conversion rate of 33.333 shares of common stock per share of Preferred 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 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 Inc. (f/k/a The Blackstone Group L.P.). The sole holder of the Class C common stock of The Blackstone Group Inc. 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., 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 Inc., 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 Inc., Blackstone Group Management L.L.C. and Stephen A. Schwarzman, which relates to the same transaction.
( 11 )On September 20, 2019, the Issuer repurchased 237,672.8 shares of the Preferred Stock held by the Partnerships for an aggregate purchase price of $302 million in a privately negotiated transaction.
( 12 )On September 20, 2019, the Partnerships converted into Common Stock the balance of the Preferred Stock held by them (274,548.2 shares) (the "Converted Shares").
( 13 )Includes Common Stock delivered by the Issuer to the Partnership on September 20, 2019 representing the shares underlying accrued dividends on the Preferred Stock (12,443 common shares).
( 14 )On September 20, 2019, the Partnerships distributed (the "In-Kind Distribution") 33,990 of the Converted Shares ultimately to certain individuals (including Stephen A. Schwarzman) in respect of their indirect interest in such entities.
( 15 )These securities are directly held by Stephen A. Schwarzman. These shares reflect Common Stock distributed to Stephen A. Schwarzman in the In-Kind Distribution that were previously indirectly beneficially owned by him.
( 16 )On September 20, 2019, the Partnerships sold the balance of the Converted Shares held by them (9,129,966 shares) in an underwritten block trade in the open market with a settlement date of September 20, 2019 and at a purchase price to the public per share of $32.75.
|* 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).|