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*
Peterson Jason D.

(Last) (First) (Middle)
41 UNIVERSITY DRIVE SUITE 202

(Street)
NEWTOWN PA 18940

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
EPAM Systems, Inc. [ EPAM ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Financial Officer
3. Date of Earliest Transaction (Month/Day/Year)
09/01/2020
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
EPAM Common Stock 09/01/2020 M 1,000 A $74.44 13,199 D
EPAM Common Stock 09/01/2020 M 1,000 A $74.44 14,199 D
EPAM Common Stock 09/01/2020 M 700 A $74.44 14,899 D
EPAM Common Stock 09/01/2020 S 1,000 D $330.17 13,899 D
EPAM Common Stock 09/01/2020 S 1,000 D $331.5 12,899 D
EPAM Common Stock 09/01/2020 S 700 D $332.75 12,199 D
EPAM Common Stock 09/01/2020 S 642 D $329 11,557 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
Employee Stock Option (right to buy) $74.44 09/01/2020 M 1,000 (1) 04/05/2027 EPAM Common Stock 1,000 $0 13,716 D
Employee Stock Option (right to buy) $74.44 09/01/2020 M 1,000 (1) 04/05/2027 EPAM Common Stock 1,000 $0 12,716 D
Employee Stock Option (right to buy) $74.44 09/01/2020 M 700 (1) 04/05/2027 EPAM Common Stock 700 $0 12,016 D
Explanation of Responses:
1. The option became exercisable as to 25% of the shares on April 5, 2018, 2019 and 2020, and will become exercisable as to 25% on each of April 5, 2020 and 2021.
Remarks:
/s/ Kate Pytlewski as Attorney-in-Fact 09/01/2020
** 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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