SEC Form 3
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)
| 2. Date of Event Requiring Statement (Month/Day/Year) 08/02/2022 | 3. Issuer Name and Ticker or Trading Symbol SSR MINING INC. [ SSRM ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
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 Shares | 18,663(1) | D |
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 | ||||
Performance Share Units | 01/01/2024 | (2) | Common Shares | 6,360 | (2) | D | |
Performance Share Units | 03/07/2025 | (3) | Common Shares | 6,978 | (3) | D |
Explanation of Responses: |
1. Includes restricted share units that vest subject to continuing service of the Reporting Person and convert on a one-for-one basis into Common Shares upon vesting. |
2. These performance share units represent a contingent right to receive a cash payment from the Issuer in the first quarter of 2024 in an amount determined pursuant to the plan governing such units based on achievement of specified performance criteria over the applicable performance period and subject to continued service through the vesting date. |
3. These performance share units represent a contingent right to receive a cash payment from the Issuer in the first quarter of 2025 in an amount determined pursuant to the plan governing such units based on achievement of specified performance criteria over the applicable performance period and subject to continued service through the vesting date. |
Remarks: |
Exhibit 24 - Power of Attorney |
/s/ Jasmine Miller, attorney-in-fact for John Ebbett | 08/03/2022 | |
** 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. |