SEC FORM 4 SEC Form 4
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
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Visentin Giovanni

(Last) (First) (Middle)
201 MERRITT 7

(Street)
NORWALK CT 06851

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Xerox Holdings Corp [ XRX ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Vice Chairman & CEO
3. Date of Earliest Transaction (Month/Day/Year)
05/15/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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 05/15/2021 M 183,546(1) A $0 468,014(2) D
Restricted Stock Units 05/15/2021 M 43,845(3) D $0 715,242(4) D
Common Stock 05/15/2021 M 43,845 A $0 426,803(4) D
Common Stock 05/15/2021 F 85,056(5) D $24.21 382,958 D
Common Stock 05/15/2021 F 20,318(6) D $24.21 406,485 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 (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 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 (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (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: 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
Performance Shares $0 05/15/2021 M 183,546 (7) (8) Common Stock 183,546 $0 696,086 D
Explanation of Responses:
1. Performance Shares vesting and converted to shares of Common Stock. 167,164 Performance Shares were awarded at target on May 15, 2018, but due to performance paid out at 109.8% of target. The total number of Performance Shares paid out is shown.
2. Reflects adjustment of balance due to Performance Shares vesting and converting to Common Stock.
3. Restricted Stock Units vested and converted to shares of Common Stock.
4. Reflects adjustment of balance due to Restricted Stock Units converting to Common Stock.
5. Shares withheld to pay for taxes on Performance Shares that have vested.
6. Shares withheld to pay for taxes on the Restricted Stock Units that have vested.
7. Not applicable
8. Not applicable
/s/ Douglas H. Marshall, Attorney-in-Fact 05/17/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
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