SEC Form 4 · accession 0001569608-16-000051
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
May 24, 2016
Accepted (ET)
May 27, 2016 · 9:58 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 | May 24, 2016 | P | 62,434 | $1.2576 | A | 5,283,659 | I | General Partner |
| Ordinary SharesF1,F2 | May 27, 2016 | P | 1,750 | $1.5451 | A | 5,285,409 | 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 5,247,469 Ordinary Shares Columbia Pacific Partners Fund (Delaware), L.P. owns 37,940 Ordinary Shares