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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| OMB Number: |
3235-0287 |
| Estimated average burden |
| hours per response: |
0.5 |
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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*
| XEROX HOLDINGS CORPORATION |
| 201 MERRITT 7 |
(Street)
|
2. Issuer Name and Ticker or Trading Symbol
Xerox Holdings Corp
[ XRX ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year)
05/19/2022
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
| X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
|---|
| 1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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| Code |
V |
Amount |
(A) or (D) |
Price |
|
Deferred Stock Units
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05/19/2022 |
|
A |
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17,806
|
A |
$0
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31,362
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D |
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| Common Stock |
|
|
|
|
|
|
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5,500 |
D |
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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|---|
| 1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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| Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Explanation of Responses: |
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|
|
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/s/ Douglas H. Marshall, Attorney-in-Fact |
05/23/2022 |
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** 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). |
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
POWER OF ATTORNEY
The undersigned hereby constitutes and appoints each
of Louis J. Pastor, Flor M. Colon, Eric W. Risi and
Douglas H. Marshall as the undersigned's true and
lawful attorneys-in-fact, with full powers to act
alone, to execute and file with the Securities and
Exchange Commission and any stock exchange or similar
authority one or more beneficial ownership reports and
any and all amendments thereto, together with any and
all exhibits relating thereto including this Power of
Attorney, in the name and on behalf of the undersigned,
disclosing the undersigned's beneficial ownership of
securities of Xerox Holdings Corporation, in connection
with Section 16 and any other provisions of the
Securities Exchange Act of 1934, as amended, and the
rules promulgated thereunder (the "SEC Rules"), which
reports, amendments and exhibits shall contain such
information as any of Louis J. Pastor, Flor M. Colon,
Eric W. Risi and Douglas H. Marshall deems appropriate.
The undersigned hereby grants to each such
attorney-in-fact full power and authority to do and
perform each and every act and thing whatsoever that
said attorney or attorneys may deem necessary or
advisable to carry out fully the intent of the foregoing
as the undersigned might or could do personally. The
undersigned acknowledges that none of the foregoing
attorneys-in-fact, in serving in such capacity, which
the undersigned acknowledges is at the request of the
undersigned, is assuming, nor is Xerox Holdings
Corporation assuming, any of the undersigned's
responsibilities to comply with the SEC Rules. This
Power of Attorney shall remain in full force and effect
with respect to each of the foregoing attorneys-in-fact
until the undersigned is no longer required to file any
of the aforementioned reports under the SEC Rules,
unless earlier revoked by the undersigned in a signed
writing delivered to the applicable attorney-in-fact.
IN WITNESS WHEREOF, the undersigned has executed
this power-of-attorney as of the 19th day of May 2022.
Name: Margarita Pal?u-Hern?ndez
Signature: /s/ Margarita Pal?u-Hern?ndez
