SEC Form 4 · accession 0001601045-17-000011
Quotient Technology Inc. · QUOT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steven R. Boal
Officer — CEO · Director
Period of report
May 16, 2017
Accepted (ET)
May 18, 2017 · 5:50 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 16, 2017 | M | 35,211 | $3.675 | A | 1,204,034 | D | |
| Common StockF2 | May 16, 2017 | S | 35,211 | $11.1235 | D | 1,168,823 | D | |
| Common StockF3 | holding | — | — | — | 3,954,976 | I | By Family Trust | |
| Common StockF4 | holding | — | — | — | 454,733 | I | By Trust | |
| Common StockF5 | holding | — | — | — | 454,733 | I | By Wife Trust | |
| Common StockF6 | holding | — | — | — | 3,237 | I | By Child Trust | |
| Common StockF7 | holding | — | — | — | 3,237 | I | By Child Trust | |
| Common StockF8 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy) | $3.675 | May 16, 2017 | M | 35,211 | D | Apr 18, 2012 | Apr 17, 2021 | Common Stock | 35,211 | 124,789 | D |
Explanation of responses
- F1The sales reported on this Form 4 were sold by the reporting person pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on May 16, 2017.
- F2The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $11.10 to $11.25, inclusive. The reporting person undertakes to provide Quotient Technology Inc., any security holder of Quotient Technology Inc. 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.
- F3These shares are held directly by the SMSEJ Family Trust U/A dated July 18, 2005 of which Mr. Boal is a co-trustee.
- F4These shares are held directly by Steven R. Boal TTEE of the Steven R. Boal Annuity Trust dated December 6, 2013.
- F5These shares are held directly by Steven R. Boal TTEE of the Michelle L Boal Annuity Trust dated December 6, 2013.
- F6These shares are held directly by Stuart Shiff TTEE of the EBB 2011 Trust dated September 23, 2011.
- F7These shares are held directly by Stuart Shiff TTEE of the JMB 2011 Trust dated September 23, 2011.
- F8These shares are held directly by Stuart Shiff TTEE of the SEB 2011 Trust dated September 23, 2011.