SEC FORM 5 SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL 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).
Form 3 Holdings Reported.
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
HAYNE RICHARD A

(Last) (First) (Middle)
5000 SOUTH BROAD STREET

(Street)
PHILADELPHIA PA 19112

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
URBAN OUTFITTERS INC [ URBN ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
CEO and President
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
01/31/2015
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X 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 at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Shares (1) 22,676,064(2) D
Common Shares 02/18/2014 G(3) 2,404,990 D $0.00 0 I(4) By Richard A. Hayne GRAT #2
Common Shares (1)(5) 23,626 I(4) By Profit Sharing Fund (401(k) Plan)
Common Shares (1) 157,233 I(6) By Richard and Margaret Hayne 2012 Trust
Common Shares (1) 138,223 I(7) By David A. Hayne 2012 Trust
Common Shares (1) 127,350 I(8) By Jessica M. Hayne 2012 Trust
Common Shares (1) 62,440 I(4) By Hayne Foundation
Common Shares (1) 1,066,184 I(9) By Spouse
Common Shares (1)(5) 11,369 I(10) By spouse through Profit Sharing Fund (401(k) Plan)
Common Shares 02/28/2014 G(11) 979 D $0.00 0 I(10) By spouse as UGMA custodian for son
Common Shares 02/18/2014 G 1,122,410 A $0.00 2,490,488 I(10) By spouse as Trustee
Common Shares 02/18/2014 G 1,122,410 A $0.00 2,490,488 I(10) By spouse as Trustee
Common Shares 02/18/2014 G 53,390 A $0.00 53,390 I(10) By spouse as Trustee
Common Shares 02/18/2014 G 53,390 A $0.00 53,390 I(10) By spouse as Trustee
Common Shares 02/18/2014 G 53,390 A $0.00 53,390 I(10) By spouse as Trustee
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)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Performance Based Restricted Stock Unit(12) (13) (14) (14) Common Shares 60,000 60,000 I By spouse
1. Name and Address of Reporting Person*
HAYNE RICHARD A

(Last) (First) (Middle)
5000 SOUTH BROAD STREET

(Street)
PHILADELPHIA PA 19112

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Hayne Margaret

(Last) (First) (Middle)
5000 SOUTH BROAD STREET

(Street)
PHILADELPHIA PA 19112

(City) (State) (Zip)
Explanation of Responses:
1. Report of fiscal year-end holdings only.
2. This amount includes 3,389,526 shares transferred to Richard A. Hayne upon termination of the Richard A. Hayne GRAT #2 (the "GRAT").
3. Upon termination of the GRAT, 2,404,990 shares of the 5,794,516 shares held by the GRAT were transferred to trusts for the benefit of the reporting persons' children and the remaining 3,389,526 shares were transferred to Richard A. Hayne.
4. These shares are owned indirectly by Richard A. Hayne and indirectly by his spouse, Margaret Hayne. Margaret Hayne disclaims beneficial ownership of these shares, except to the extent of any pecuniary interest therein.
5. This line item reports the balance of shares in the Profit Sharing Trust after covering certain administrative costs of the Trustee as of the plan statement date of January 31, 2015.
6. These shares are owned indirectly by Richard A. Hayne and indirectly by his spouse, Margaret Hayne. Both reporting persons disclaim beneficial ownership of these shares, except to the extent of any pecuniary interest therein.
7. Richard A. Hayne is a trustee of the David A. Hayne 2012 Trust, of which members of his immediate family are among the beneficiaries. Mr. Hayne disclaims beneficial ownership of the issuer's common shares held by the trust, except to the extent of his pecuniary interest therein.
8. Richard A. Hayne is a special trustee of the Jessica M. Hayne 2012 Trust, of which members of his immediate family are among the beneficiaries. Mr. Hayne disclaims beneficial ownership of the issuer's common shares held by the trust, except to the extent of his pecuniary interest therein.
9. These shares are owned indirectly by Richard A. Hayne and directly by his spouse, Margaret Hayne. Richard A. Hayne disclaims beneficial ownership of these shares, except to the extent of any pecuniary interest therein.
10. These shares are owned indirectly by Richard A. Hayne and indirectly by his spouse, Margaret Hayne. Richard A. Hayne disclaims beneficial ownership of these shares, except to the extent of any pecuniary interest therein.
11. These shares were transferred by spouse as UGMA custodian to son when he reached the age of majority.
12. The footnote disclosure regarding the grant of Performance Based Restricted Stock Units ("PSUs") differs from the disclosure in Margaret Hayne's Form 4 filed on August 29, 2013 due to a typographical error in the prior filing.
13. Each PSU represents a contingent right to receive one of the issuer's common shares.
14. The PSUs are eligible to vest on August 27, 2018, contingent on the continued employment of the reporting person through such date and the satisfaction of certain performance measures relating to the issuer's compounded annual growth rate for operating profit for the fiscal years 2015, 2016, 2017 and 2018, as well as on the average closing price of the issuer's common shares being greater than the grant date price; provided, however, that the number of PSUs that vest is limited to the number of PSUs multiplied by three times the fair market value of the issuer's common shares on the grant date, divided by the fair market value of the issuer's common shares on the day before the applicable vesting date. This limitation caps the fair market value of the award at three times the fair market value of the award on the grant date.
Remarks:
/s/ Richard A. Hayne 03/17/2015
** 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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