SEC Form 4 · accession 0001569608-16-000069
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 31, 2016
Accepted (ET)
Nov 3, 2016 · 6:17 am 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 31, 2016 | S | 1,407 | $1.2012 | D | 5,418,663 | I | Investment Manager |
| Ordinary SharesF2 | Oct 31, 2016 | P | 2,638 | $1.20 | A | 5,421,301 | I | General Partner |
| Ordinary SharesF2 | Nov 1, 2016 | P | 15,000 | $1.20 | A | 5,436,301 | I | General Partner |
| Ordinary SharesF2,F3 | Nov 2, 2016 | P | 3,100 | $1.10 | A | 5,439,401 | I | General Partner |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Disposed of by Columbia Pacific Partners Fund (Delaware), L.P.
- F2Acquired by Columbia Pacific Opportunity Fund, L.P.
- F3Columbia Pacific Opportunity Fund, L.P. owns 5,402,868 Ordinary Shares Columbia Pacific Partners Fund (Delaware), L.P. owns 36,533 Ordinary Shares