SEC Form 4 · accession 0000899243-18-023864
Quotient Technology Inc. · QUOT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steven R. Boal
Officer — Executive Chairman · Director
Period of report
Sep 1, 2018
Accepted (ET)
Sep 5, 2018 · 6:00 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001115128
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Sep 1, 2018 | M | 11,938 | $0.00 | A | 3,224,591 | D | |
| Common Stock | Sep 1, 2018 | F | 5,919 | $14.95 | D | 3,218,672 | D | |
| Common StockF1 | holding | — | — | — | 657,282 | I | By Family Trust | |
| Common StockF2 | holding | — | — | — | 127,533 | I | By GRAT | |
| Common StockF3 | holding | — | — | — | 127,533 | I | By Wife GRAT | |
| Common StockF4 | holding | — | — | — | 3,237 | I | By Child Trust | |
| Common StockF5 | holding | — | — | — | 3,237 | I | By Child Trust | |
| Common StockF6 | holding | — | — | — | 3,237 | I | By Child Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF7,F8 | — | Sep 1, 2018 | M | 11,938 | D | — | — | Common Stock | 11,938 | 167,125 | D |
Explanation of responses
- F1These shares are held directly by the SMSEJ Family Trust U/A dated July 18, 2005 of which Mr. Boal is a co-trustee.
- F2These shares are held directly by Steven R. Boal TTEE of the Steven R. Boal Annuity Trust dated December 6, 2013.
- F3These shares are held directly by Steven R. Boal TTEE of the Michele L. Boal Annuity Trust dated December 6, 2013.
- F4These shares are held directly by Stuart Shiff TTEE of the EBB 2011 Trust dated September 23, 2011
- F5These shares are held directly by Stuart Shiff TTEE of the JMB 2011 Trust dated September 23, 2011
- F6These shares are held directly by Stuart Shiff TTEE of the SEB 2011 Trust dated September 23, 2011
- F7The par value of QUOT common stock is $0.00001 per share.
- F81/16th of the restricted stock unit granted on March 1, 2018 became vested on September 1, 2018 and shares were delivered to reporting person on September 4, 2018. 1/16th of the restricted stock unit will continue to vest quarterly and shares will be delivered to reporting person on each vest date, provided that the reporting person is a service provider to the Issuer on each such vest date.