SEC Form 4 · accession 0001569608-17-000012
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
Apr 24, 2017
Accepted (ET)
Apr 26, 2017 · 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 | Apr 24, 2017 | P | 206 | $0.70 | A | 9,034,845 | I | General Partner |
| Ordinary SharesF1 | Apr 25, 2017 | P | 400 | $0.70 | A | 9,035,245 | I | General Partner |
| Ordinary SharesF1,F2 | Apr 26, 2017 | P | 500 | $0.70 | A | 9,035,745 | 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 8,999,212 Ordinary Shares Columbia Pacific Partners Fund (Delaware), L.P. owns 36,533 Ordinary Shares