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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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*
Lavin Michael T.

(Last) (First) (Middle)
19500 JAMBOREE ROAD

(Street)
IRVINE CA 92612

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CONSUMER PORTFOLIO SERVICES, INC. [ CPSS ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
President
3. Date of Earliest Transaction (Month/Day/Year)
01/24/2023
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
Common Stock, No Par Value 01/24/2023 M 75,000 A $6.86 75,000 D
Common Stock, No Par Value 01/24/2023 F(1) 56,418 D $9.56 18,582 D
Common Stock, No Par Value 01/24/2023 M 60,000 A $7.97 78,582 D
Common Stock, No Par Value 01/24/2023 F(2) 53,852 D $9.56 24,730 D
Common Stock, No Par Value 01/24/2023 G V 24,730 D $0.00 0 D
Common Stock, No Par Value 01/24/2023 G V 24,730 A $0.00 255,489 I MTRB LAVIN LIVING TRUST
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
Stock Option (right to buy) $6.86 01/24/2023 M 75,000 (3) 02/01/2023 Common Stock, No Par Value 75,000 (4) 0 D
Stock Option (right to buy) $7.97 01/24/2023 M 60,000 (5) 05/07/2023 Common Stock, No Par Value 60,000 (4) 0 D
Explanation of Responses:
1. Represents a "net exercise" of outstanding stock options. The reporting person received 18,582 shares of common stock on net exercise of option to purchase 75,000 shares of common stock. The reporting person forfeited 56,418 shares of common stock underlying the option in payment of the exercise prices and tax liability, using the closing stock price on January 24, 2023 of $9.56 per share.
2. Represents a "net exercise" of outstanding stock options. The reporting person received 6,148 shares of common stock on net exercise of option to purchase 60,000 shares of common stock. The reporting person forfeited 53,852 shares of common stock underlying the option in payment of the exercise prices and tax liability, using the closing stock price on January 24, 2023 of $9.56 per share.
3. Became exercisable in cumulative increments of 15,000 shares on February 1, 2014, 2015, 2016, 2017, and 2018.
4. Issued in consideration of the named person's services to the issuer.
5. Became exercisable in cumulative increments of 12,000 shares on May 7, 2014, 2015, 2016, 2017, and 2018.
/s/ Michael T. Lavin 01/26/2023
** 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.