SEC Form 4 · accession 0001569608-16-000075
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
Nov 21, 2016
Accepted (ET)
Nov 23, 2016 · 9:57 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 | Nov 21, 2016 | P | 20,503 | $1.1239 | A | 5,528,708 | I | General Partner |
| Ordinary SharesF1 | Nov 22, 2016 | P | 5,929 | $1.18 | A | 5,534,637 | I | General Partner |
| Ordinary SharesF1,F2 | Nov 23, 2016 | P | 12,700 | $1.1791 | A | 5,547,337 | 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 5,510,804 Ordinary Shares Columbia Pacific Partners Fund (Delaware), L.P. owns 36,533 Ordinary Shares