SEC Form 4 · accession 0001569608-17-000013
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 28, 2017
Accepted (ET)
May 2, 2017 · 9:55 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 28, 2017 | P | 1,300 | $0.70 | A | 9,037,045 | I | General Partner |
| Ordinary SharesF1 | May 1, 2017 | P | 4,942 | $0.70 | A | 9,041,987 | I | General Partner |
| Ordinary SharesF1,F2 | May 2, 2017 | P | 37,552 | $0.7185 | A | 9,079,539 | 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 9,043,006 Ordinary Shares Columbia Pacific Partners Fund (Delaware), L.P. owns 36,533 Ordinary Shares