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*
SKILLING DAVID VAN

(Last) (First) (Middle)
100 CARILLON PARKWAY

(Street)
ST. PETERSBURG FL 33716

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FIRST ADVANTAGE CORP [ FADV ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
11/18/2009
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
Class A Common Stock 11/18/2009 D 1 D (1) 0 D
Class A Common Stock 11/18/2009 M 2,500(2) A $28.18 7,500 D
Class A Common Stock 11/18/2009 M 7,953(4) A (5) 15,453 D
Class A Common Stock 11/18/2009 D 7,953 D (5) 0 D
Class A Common Stock 11/18/2009 D 5,000 D (3) 0 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
Stock Option (Right to Buy) $28.18 11/18/2009 M 2,500(2) 12/01/2006 12/01/2015 Class A Common Stock 2,500 $0 2,500 D
Restricted Stock Unit (5) 11/18/2009 M 7,953(4) (4) (4) Class A Common Stock 7,953 (5) 0 D
Director Stock Option $25.13 05/11/2007 05/11/2016 Class A Common Stock 0 0 D
Explanation of Responses:
1. On November 12, 2009, the reporting person tendered all of his directly held FADV common shares, pursuant to the tender offer by The First American Corporation to acquire all of the FADV common shares. This amount is a result of a rounding error in vested FADV restricted stock units previously convertedto FADV common shares. This disposition is to correct the rounding error.
2. Vesting of the reporting person's stock options pursuant to the FADV 2003 Incentive Compensation Plan. These options vested immediately prior to and in conjunction with the merger of 11/18/2009.
3. Pursuant to the merger, stock options to acquire Class A common stock of First Advantage Corporation (FADV) were assumed by The First American Corporation (FAF) using a ratio of 0.58 of a common share of FAF per share of Class A common stock of FADV
4. Accelerate vesting of restricted stock units pursuant to the FADV 2003 Incentive Compensation Plan. The restricted stock units vested immediately prior to and in conjunctio with the 11/18/2009 merger.
5. The consideration received in the merger was 0.58 of a common share of The First American Corporation for each Class A common share of First Advantage Corporation common stock, plus cash in lieu of any fractional share.
Sharlyn Nudelman, Power of Attorney 11/19/2009
** 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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