SEC Form 4 · accession 0001569608-15-000020
Modsys International Ltd · MDSYF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Columbia Pacific Advisors, LLC
10% Owner
Period of report
Oct 28, 2015
Accepted (ET)
Oct 30, 2015 · 9:53 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001029581
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Ordinary SharesF1 | Oct 28, 2015 | P | 7,728 | $1.8277 | A | 5,136,099 | I | GP and/or Investment Manager |
| Ordinary SharesF1,F2 | Oct 30, 2015 | P | 1,575 | $1.9822 | A | 5,137,674 | I | GP and/or Investment Manager |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Acquired by Columbia Pacific Opportunity Fund, L.P.
- F2Columbia Pacific Opportunity Fund, L.P. owns 5,099,734 Ordinary Shares Columbia Pacific Partners Fund, Ltd. owns 37,940 Ordinary Shares