SEC Form 4 · accession 0001546946-15-000009
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
May 19, 2015
Accepted (ET)
May 21, 2015 · 7:50 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 | May 19, 2015 | M | 25,538 | $3.675 | A | 30,954 | D | |
| Common StockF2 | May 19, 2015 | S | 25,538 | $12.9502 | D | 5,416 | D | |
| Common Stock | May 21, 2015 | M | 2,505 | $3.675 | A | 7,921 | D | |
| Common StockF3 | May 21, 2015 | S | 2,505 | $12.9619 | D | 5,416 | D | |
| Common StockF4 | holding | — | — | — | 65,134 | I | By Family Trust | |
| Common StockF5 | holding | — | — | — | 7,011 | I | By Child Trust | |
| Common StockF6 | holding | — | — | — | 7,011 | I | By Child Trust | |
| Common StockF7 | 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 | May 19, 2015 | M | 25,538 | D | Mar 12, 2011 | Mar 11, 2020 | Common Stock | 25,538 | 436,038 | D |
| Employee Stock Option (Right to Buy) | $3.675 | May 21, 2015 | M | 2,505 | D | Mar 12, 2011 | Mar 11, 2020 | Common Stock | 2,505 | 433,533 | D |
Explanation of responses
- F1These sales were effected by the reporting person pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on February 27, 2015.
- F2The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $12.95 to $12.98, 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.
- F3The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $12.95 to $12.99, 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.
- F4These shares are held directly by the Hornstein Family Trust u/a/d 12/24/13 of which the reporting person is a co-trustee.
- F5These shares are held directly by a trust for the benefit of reporting person's minor child No. 1.
- F6These shares are held directly by a trust for the benefit of reporting person's minor child No. 2.
- F7These shares are held directly by a trust for the benefit of reporting person's minor child No.3.