SEC Form 4 · accession 0001213807-15-000001
Quotient Technology Inc. · QUOT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard Hornstein
Officer — General Counsel
Period of report
Jan 2, 2015
Accepted (ET)
Jan 6, 2015 · 5:56 pm EST
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 | Dec 23, 2014 | G | 5,253 | $0.00 | D | 65,134 | I | By Family Trust |
| Common StockF2 | Dec 23, 2014 | G | 1,751 | $0.00 | A | 8,511 | I | By child trust |
| Common StockF3 | Dec 23, 2014 | G | 1,751 | $0.00 | A | 8,511 | I | By Child Trust |
| Common StockF4 | Dec 23, 2014 | G | 1,751 | $0.00 | A | 8,511 | I | By Child Trust |
| Common Stock | Jan 2, 2015 | M | 5,416 | $3.675 | A | 5,416 | D | |
| Common StockF6 | Jan 2, 2015 | S | 5,416 | $17.2747 | D | 0 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy) | $3.675 | Jan 2, 2015 | M | 5,416 | D | Mar 12, 2011 | Mar 11, 2020 | Common Stock | 5,416 | 461,576 | D |
Explanation of responses
- F1These shares were previously reported as directly beneficially owned by the reporting person but were contributed on December 23, 2014 to the Hornstein Family Trust u/a/d 12/24/13 of which the reporting person is a co-trustee.
- F2The shares are held by directly by Wojcicech Sobieszcaznski TTEE of the Brandon Noah Hornstein Trust dated December 24, 2013.
- F3The shares are held directly by Wojcicech Sobieszcaznski TTEE of the Dylan Cole Hornstein Trust dated December 24, 2013.
- F4The shares are held directly by Wojcicech Sobieszcaznski TTEE of the Lucas Jaden Hornstein Trust dated December 24, 2013.
- F5The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on May 24, 2014.
- F6The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $16.9741 to $17.92, inclusive. The reporting person undertakes to provide Coupons.com Incorporated, any security holder of Coupons.com Incorporated or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.