FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 07/18/2018 |
3. Issuer Name and Ticker or Trading Symbol
First Western Financial Inc [ MYFW ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 826,730(1) | D | |
Common Stock | 2,000 | I | By Wylie Family Foundation(2) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Nonqualified Stock Option (right to buy) | (3) | 01/24/2022 | Common Stock | 20,000 | $25 | D | |
Nonqualified Stock Option (right to buy) | (4) | 01/24/2022 | Common Stock | 80,000 | $40 | D | |
Nonqualified Stock Option (right to buy) | (5) | 07/01/2024 | Common Stock | 15,000 | $20 | D | |
Nonqualified Stock Option (right to buy) | (6) | 12/23/2025 | Common Stock | 16,500 | $25 | D | |
Performance Stock Unit | (7) | 06/30/2022 | Common Stock | 4,167 | $0 | D |
Explanation of Responses: |
1. Includes 89,866 restricted stock units that vest in four substantially equal installments beginning April 30, 2019, subject to the continued service of the reporting person. |
2. The reporting person serves as President and Trustee of the Wylie Family Foundation. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose. |
3. The option is currently exercisable. The option previously vested in accordance with its terms. |
4. The option is currently exercisable. The option previously vested in accordance with its terms. |
5. The option is vested as to 12,000 shares, and the remaining 3,000 shares vest on July 1, 2019, subject to the continued service of the reporting person. |
6. The option is vested as to 6,600 shares, and the remaining 9,900 shares vest in three equal annual installments beginning on December 23, 2018, subject to the continued service of the reporting person. |
7. Each performance stock unit represents a contingent right to receive one share of First Western Financial, Inc. common stock, no par value ("Common Stock"). The performance stock units vest, if at all, based upon (i) the market price of each share of Common Stock during the period ending June 30, 2020, and (ii) the continued service of the reporting person through June 30, 2022. |
Remarks: |
Exhibit 24 - Power of Attorney |
/s/ Scott C. Wylie | 07/18/2018 | |
** 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 5 (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. |