SEC Form 4 · accession 0001209191-19-019513
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
Mar 12, 2019
Accepted (ET)
Mar 14, 2019 · 5:34 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 StockF1,F2 | Mar 12, 2019 | G | 127,533 | $0.00 | D | 0 | I | By GRAT |
| Common StockF3,F4 | Mar 12, 2019 | G | 127,533 | $0.00 | D | 0 | I | By Wife GRAT |
| Common StockF5,F6 | Mar 12, 2019 | G | 255,066 | $0.00 | A | 912,348 | I | By Family Trust |
| Common StockF7 | holding | — | — | — | 3,237 | I | By Child Trust | |
| Common StockF8 | holding | — | — | — | 3,237 | I | By Child Trust | |
| Common StockF9 | holding | — | — | — | 3,237 | I | By Child Trust | |
| Common Stock | holding | — | — | — | 3,482,702 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents shares transferred by Steven R. Boal TTEE of the Steven R. Boal Annuity Trust dated December 6, 2013 (the "Annuity Trust of Mr. Boal"). Mr. Boal simultaneously contributed these shares to the Steven R. Boal & Michelle Boal TTEE SMSEJ Family Trust U/A dated July 18, 2005 of which Mr. Boal is a co-trustee.
- F2These shares were held directly by the Annuity Trust of Mr. Boal.
- F3Represents shares transferred by Steven R. Boal TTEE of the Michele L. Boal Annuity Trust dated December 6, 2013 (the "Annuity Trust of Mrs. Boal"). Mrs. Boal simultaneously contributed these shares to the SMSEJ Family Trust U/A/ dated July 19, 2005 of which Mrs. Boal is a co-trustee.
- F4These shares were held directly by Annuity Trust of Mrs. Boal.
- F5Represents 127,533 shares contributed by the Annuity Trust of Mr. Boal and 127,533 shares by the Annuity Trust of Mrs. Boal.
- F6These shares are held directly by the SMSEJ Family Trust U/A dated July 18, 2005 of which Mr. Boal is a co-trustee.
- F7These shares are held directly by Stuart Shiff TTEE of the EBB 2011 Trust dated September 23, 2011.
- F8These shares are held directly by Stuart Shiff TTEE of the JMB 2011 Trust dated September 23, 2011.
- F9These shares are held directly by Stuart Shiff TTEE of the SEB 2011 Trust dated September 23, 2011.