Sec Form 4/A Filing - GRISKO JEROME P @ CBIZ, Inc. - 2019-12-03

Insider filing report for Changes in Beneficial Ownership
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FORM 4/A
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
GRISKO JEROME P
2. Issuer Name and Ticker or Trading Symbol
CBIZ, Inc. [ CBZ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
CEO & President
(Last) (First) (Middle)
C/O CBIZ, INC., 6050 OAK TREE BOULEVARD SOUTH
3. Date of Earliest Transaction (MM/DD/YY)
12/03/2019
(Street)
CLEVELAND, OH44131
4. If Amendment, Date Original Filed (MM/DD/YY)
12/05/2019
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
Common Stock 12/03/2019 M( 1 ) 25,000 A $ 8.36 699,326.0385 D
Common Stock 12/03/2019 S 25,000 D $ 26.6309 ( 2 ) 674,326.0385 D
Common Stock 12/03/2019 M( 1 ) 5,000 A $ 8.36 679,326.0385 D
Common Stock 12/03/2019 S 5,000 D $ 26.72 ( 3 ) 674,326.0385 D
Common Stock 12/04/2019 M( 1 ) 25,000 ( 4 ) A $ 8.36 699,326.0385 D
Common Stock 12/04/2019 S 25,000 ( 5 ) D $ 26.8901 ( 6 ) 674,326.0385 D
Common Stock 12/04/2019 M( 1 ) 5,000 A $ 8.36 674,326.0385 D
Common Stock 12/04/2019 S 5,000 D $ 26.909 ( 7 ) 674,326.0385 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
Employee Stock Option $ 8.36 12/03/2019 M( 1 ) 25,000 05/14/2015 05/14/2020 Common Stock 25,000 $ 0 85,000 D
Employee Stock Option $ 8.36 12/03/2019 M( 1 ) 5,000 05/14/2015 05/14/2020 Common Stock 5,000 $ 0 80,000 D
Employee Stock Option $ 8.36 12/04/2019 M( 1 ) 25,000 ( 8 ) 05/14/2015 05/14/2020 Common Stock 25,000 $ 0 55,000 D
Employee Stock Option $ 8.36 12/04/2019 M( 1 ) 5,000 05/14/2015 05/14/2020 Common Stock 5,000 $ 0 50,000 D
Employee Stock Option $ 9.35 05/15/2016 05/15/2021 Common Stock 110,000 110,000 D
Employee Stock Option $ 10.35 05/10/2017 05/20/2022 Common Stock 180,000 180,000 D
Employee Stock Option $ 15.55 05/10/2018 05/10/2023 Common Stock 180,000 180,000 D
Employee Stock Option $ 19.45 05/09/2019 05/09/2024 Common Stock 180,000 180,000 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
GRISKO JEROME P
C/O CBIZ, INC.
6050 OAK TREE BOULEVARD SOUTH
CLEVELAND, OH44131
X CEO & President
Signatures
Michael W. Gleespen, attorney-in-fact for Jerome P. Grisko, Jr. 12/10/2019
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Exercise and sale of Employee Stock Options granted 05/14/2014 at $8.36 exercise price, expiring 05/14/2020.
( 2 )Weighted average sale price of price range between $26,80 and $26.50. Will provide upon request number of shares sold at each separate price.
( 3 )Weighted average sale price of price range between $26.74 and $26.70. Will provide upon request number of shares sold at each separate price.
( 4 )Correction of erroneous data initially received from broker. Original Form 4 showed 30,000 shares exercised and sold -- correct number is 25,000 shares.
( 5 )Correction of erroneous data initially received from broker. Original Form 4 showed 30,000 shares exercised and sold -- correct number is 25,000 shares.
( 6 )Weighted average sale price of price range between $27.06 and $26.71. Will provide upon request number of shares sold at each separate price.
( 7 )Weighted average sale price of price range between $26.97 and $26.83. Will provide upon request number of shares sold at each separate price.
( 8 )Correction of erroneous data initially received from broker. Original Form 4 showed 30,000 shares exercised and sold -- correct number is 25,000 shares.

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