# EDGAR Filing Document

**Accession Number:** 0001809266
**File Stem:** 0001209191-23-014739
**Filing Date:** 2023-3
**Character Count:** 9802
**Document Hash:** b82735a7038a11ff388f85da2512f07b
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001209191-23-014739.hdr.sgml**: 20230302

**ACCESSION NUMBER**: 0001209191-23-014739

**CONFORMED SUBMISSION TYPE**: 4

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20230228

**FILED AS OF DATE**: 20230302

**DATE AS OF CHANGE**: 20230302

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Jacobs Jeffrey Scott
- **CENTRAL INDEX KEY:** 0001809266

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-38467
- **FILM NUMBER:** 23699790

**MAIL ADDRESS:**
- **STREET 1:** C/O CERIDIAN HCM HOLDING INC.
- **STREET 2:** 3311 EAST OLD SHAKOPEE ROAD
- **CITY:** MINNEAPOLIS
- **STATE:** MN
- **ZIP:** 55425
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Ceridian HCM Holding Inc.
- **CENTRAL INDEX KEY:** 0001725057
- **STANDARD INDUSTRIAL CLASSIFICATION:** SERVICES-PREPACKAGED SOFTWARE [7372]
- **IRS NUMBER:** 463231686
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**BUSINESS ADDRESS:**
- **STREET 1:** 3311 EAST OLD SHAKOPEE ROAD
- **CITY:** MINNEAPOLIS
- **STATE:** MN
- **ZIP:** 55425
- **BUSINESS PHONE:** 952-853-8100

**MAIL ADDRESS:**
- **STREET 1:** 3311 EAST OLD SHAKOPEE ROAD
- **CITY:** MINNEAPOLIS
- **STATE:** MN
- **ZIP:** 55425

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 4

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Jacobs Jeffrey Scott<br><sub>(Last) (First) (Middle)</sub><br>C/O CERIDIAN HCM HOLDING INC.<br>3311 E. OLD SHAKOPEE ROAD<br><sub>(Street)</sub><br>MINNEAPOLIS, MN 55425<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-02-28 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [ ] 10% Owner<br>[X] Officer (give title below) [ ] Other (specify below)<br>_Head of Acct & Fin Reporting_ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>Ceridian HCM Holding Inc. [ CDAY ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[X] Form filed by One Reporting Person<br>[ ] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| Common Stock | 2023-02-28 |  | A |  | 8227<sup>(1)</sup> | A | $0.00 | 18755 | D |  |
| Common Stock | 2023-03-01 |  | S |  | 24<sup>(2)</sup> | D | $72.86 | 18731<sup>(3)</sup> | D |  |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| Option (right to buy) | $17.58 |  |  |  |  |  |  | <sup>(4)</sup> | 2025-12-08 | Common Stock | 500 |  | 500 | D |  |
| Option (right to buy) | $16.82 |  |  |  |  |  |  | <sup>(4)</sup> | 2026-12-31 | Common Stock | 1125 |  | 1125 | D |  |
| Option (right to buy) | $19.04 |  |  |  |  |  |  | <sup>(4)</sup> | 2027-12-20 | Common Stock | 5000 |  | 5000 | D |  |
| Option (right to buy) | $22.00 |  |  |  |  |  |  | <sup>(4)</sup> | 2028-04-25 | Common Stock | 32610 |  | 32610 | D |  |
| Option (right to buy) | $44.91 |  |  |  |  |  |  | <sup>(4)</sup> | 2029-02-08 | Common Stock | 712 |  | 712 | D |  |
| Option (right to buy) | $49.93 |  |  |  |  |  |  | <sup>(5)</sup> | 2029-03-20 | Common Stock | 8396 |  | 8396 | D |  |
| Option (right to buy) | $65.26 |  |  |  |  |  |  | <sup>(6)</sup> | 2030-05-08 | Common Stock | 14299 |  | 14299 | D |  |
| Performance Units | <sup>(7)</sup> |  |  |  |  |  |  | <sup>(7)</sup> | 2031-03-08 | Common Stock | 1647 |  | 1647 | D |  |
| Performance Units | <sup>(8)</sup> |  |  |  |  |  |  | <sup>(8)</sup> | 2032-02-24 | Common Stock | 2352 |  | 2352 | D |  |
| Performance Units | <sup>(9)</sup> | 2023-02-28 |  | A |  | 845 |  | <sup>(9)</sup> | 2033-02-28 | Common Stock | 845 | $0.00 | 845 | D |  |

---

### Footnotes:

(1) 8,227 shares of common stock of the Issuer ("Common Stock") that are issuable pursuant to Restricted Stock Units ("RSUs"), granted on February 28, 2023, that vest in three annual installments beginning on February 28, 2024.

(2) 24 shares of Common Stock were sold to cover withholding taxes as required pursuant to the terms of the RSU award agreement and 50 shares of Common Stock were issued to the Reporting Person in connection with the vesting of 74 RSUs on February 28, 2023.

(3) Includes (i) 5,522 shares of Common Stock, (ii) shares of Common Stock issuable pursuant to RSUs, granted on May 8, 2020, of which 511 shares vest on May 8, 2023;  (iii) shares of Common Stock that are issuable pursuant to RSUs, granted on March 8, 2021, of which 823 shares vest on March 8, 2023 and 824 shares that vest on March 8, 2024; (iv) shares of Common Stock issuable pursuant to RSUs, granted on February 24, 2022, of which 1,412 shares vest on each of February 24, 2024 and February 24, 2025; and (v) shares of Common Stock issuable pursuant to RSUs, granted on February 28, 2023, of which 2,742 shares vest on each of February 28, 2024 and February 28, 2025, and 2,743 shares vest on February 28, 2026.

(4) Fully vested and exercisable.

(5) Consists of 6,297 vested and exercisable options as of March 20, 2022, and 2,099 options that vest and become exercisable on March 20, 2023.

(6) Consists of 7,149 vested and exercisable options as of May 8, 2022, and 3,575 options that vest and become exercisable on each of May 8, 2023, and May 8, 2024.

(7) Given the Company's performance in 2021 and pursuant to the terms of the PSU award agreement, each PSU granted on March 8, 2021 converted into 1 share of Common Stock upon vesting. The vesting of 823 and 824 PSUs occurs on each of March 8, 2023 and March 8, 2024, respectively.

(8) Pursuant to the terms of the PSU award agreement, the vesting of 1,176 PSUs occurs on each of February 24, 2024 and February 24, 2025.

(9) Each PSU represents a contingent right to receive shares of Common Stock based upon the degree to which one or more of the performance metrics under the Company's 2023 Management Incentive Plan ("2023 MIP") are satisfied. The number of PSUs reported in columns 5, 7 and 9 of Table II reflects achievement at the target level of performance under the 2023 MIP.  Based on actual results during the fiscal year ended December 31, 2023, the aggregate number of shares of Common Stock issued may range from zero shares to 167% of the target number of shares reported in columns 5, 7, and 9 of Table II. The PSUs will only vest upon the later of (i) the date the Compensation Committee or the Board of Directors of the Company certify that one or more of the performance metrics have been met under the 2023 MIP for the individual and (ii) the one-year anniversary of the date of grant.

**Remarks:**
For Jeffrey Jacobs pursuant to the Power of Attorney previously filed.

**Signature:** /s/ William E. McDonald  
**Date:** 2023-03-02

### Remarks:

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.**