SEC Form 4 · accession 0001569608-17-000020
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
Jun 5, 2017
Accepted (ET)
Jun 7, 2017 · 9:50 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 | Jun 5, 2017 | P | 1,300 | $0.65 | A | 9,137,834 | I | General Partner |
| Ordinary SharesF1,F2 | Jun 6, 2017 | P | 271 | $0.65 | A | 9,138,105 | 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 9,101,572 Ordinary Shares Columbia Pacific Partners Fund (Delaware), L.P. owns 36,533 Ordinary Shares