SEC Form 4 · accession 0001569608-15-000031
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
Dec 22, 2015
Accepted (ET)
Dec 28, 2015 · 7:35 pm EST
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 | Dec 22, 2015 | P | 100 | $2.10 | A | 5,164,045 | I | General Partner |
| Ordinary SharesF1 | Dec 23, 2015 | P | 2,443 | $2.1833 | A | 5,166,488 | I | General Partner |
| Ordinary SharesF1 | Dec 24, 2015 | P | 1,962 | $2.28 | A | 5,168,450 | I | General Partner |
| Ordinary SharesF1,F2 | Dec 28, 2015 | P | 3,888 | $2.2457 | A | 5,172,338 | I | General Partner |
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 5,134,398 Ordinary Shares Columbia Pacific Partners Fund, Ltd. owns 37,940 Ordinary Shares