SEC Form 4 · accession 0001437749-18-016248
DETERMINE, INC. · DTRM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael Brodsky
Director
Period of report
Aug 24, 2018
Accepted (ET)
Aug 28, 2018 · 4:03 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001090908
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Aug 24, 2018 | A | 37,800 | $0.00 | A | 216,114 | D | |
| Common StockF2 | holding | — | — | — | 156,843 | I | By Vajra Fund I, L.P. |
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)F3 | $0.78 | Aug 24, 2018 | A | 75,600 | A | — | Aug 24, 2028 | Common Stock | 75,600 | 406,200 | D |
| Warrant to Purchase Common StockF2,F4 | — | holding | — | — | — | — | — | N/A | — | 39,171 | I |
Explanation of responses
- F1Grant of Restricted Stock Units that vest in equal monthly installments over a 12 month period pursuant to that certain Amendment to Offer Letter dated August 22, 2018 by and between Determine, Inc. and Michael Brodsky.
- F2Issued in the name of Vajra Fund I, L.P. The reporting person is the General Partner of Vajra Fund I, L.P.
- F3Grant of stock options that vest in equal monthly installments over a 12 month period pursuant to that certain Amendment to Offer Letter dated August 22, 2018 by and between Determine, Inc. and Michael Brodsky.
- F4N/A