SEC Form 4 · accession 0001437749-15-017016
DETERMINE, INC. · DTRM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael Brodsky
Officer — Executive Chairman · Director
Period of report
Sep 2, 2015
Accepted (ET)
Sep 9, 2015 · 3:14 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001090908
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F1 | $3.99 | Sep 2, 2015 | A | 50,000 | A | — | Sep 2, 2025 | Common Stock | 50,000 | 155,000 | D |
| Warrant to Purchase Common StockF2,F3 | — | holding | — | — | — | — | — | N/A | — | 39,171 | I |
Explanation of responses
- F1Option vests over a 24 month period in equal quarterly installments from August 28, 2015.
- F2Issued in the name of Vajra Fund I, L.P. The reporting person is the General Partner of Vajra Fund I, L.P.
- F3N/A