SEC Form 4 · accession 0001569608-16-000076
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 30, 2016
Accepted (ET)
Dec 2, 2016 · 9:00 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 30, 2016 | P | 100 | $1.12 | A | 5,547,437 | I | General Partner |
| Ordinary SharesF1 | Dec 1, 2016 | P | 33,470 | $1.2447 | A | 5,580,907 | I | General Partner |
| Ordinary SharesF1,F2 | Dec 2, 2016 | P | 200 | $1.20 | A | 5,581,107 | 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 5,544,574 Ordinary Shares Columbia Pacific Partners Fund (Delaware), L.P. owns 36,533 Ordinary Shares