SEC Form 4 · accession 0001213807-15-000009
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
Dec 3, 2015
Accepted (ET)
Dec 7, 2015 · 7:08 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 Stock | Dec 3, 2015 | M | 63,197 | $3.675 | A | 68,613 | D | |
| Common StockF1 | holding | — | — | — | 65,134 | I | By Family Trust | |
| Common StockF2 | holding | — | — | — | 7,011 | I | By Child Trust | |
| Common StockF3 | holding | — | — | — | 7,011 | I | By Child Trust | |
| Common StockF4 | holding | — | — | — | 7,011 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy) | $3.675 | Dec 3, 2015 | M | 18,357 | D | Mar 12, 2011 | Mar 11, 2020 | Common Stock | 18,357 | 413,219 | D |
| Employee Stock Option (Right to Buy) | $3.675 | Dec 3, 2015 | M | 44,840 | D | Mar 12, 2011 | Mar 11, 2020 | Common Stock | 44,840 | 0 | D |
Explanation of responses
- F1These shares are held directly by the Hornstein Family Trust u/a/d 12/24/13 of which the reporting person is a co-trustee.
- F2These shares are held directly by a trust for the benefit of reporting person's minor child No. 1.
- F3These shares are held directly by a trust for the benefit of reporting person's minor child No. 2.
- F4These shares are held directly by a trust for the benefit of reporting person's minor child No.3.