SEC Form 4 · accession 0001601045-17-000012
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 19, 2017
Accepted (ET)
May 23, 2017 · 6:30 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, 2017 | M | 85,028 | $3.675 | A | 1,253,851 | D | |
| Common StockF2 | May 19, 2017 | S | 85,028 | $11.278 | D | 1,168,823 | D | |
| Common Stock | May 22, 2017 | M | 39,761 | $3.675 | A | 1,208,584 | D | |
| Common StockF3 | May 22, 2017 | S | 39,761 | $11.4505 | D | 1,168,823 | D | |
| Common StockF4 | holding | — | — | — | 3,954,976 | I | By Family Trust | |
| Common StockF5 | holding | — | — | — | 454,733 | I | By Trust | |
| Common StockF6 | holding | — | — | — | 454,733 | I | By Wife 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 |
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, 2017 | M | 85,028 | D | Apr 18, 2012 | Apr 17, 2021 | Common Stock | 85,028 | 39,761 | D |
| Employee Stock Option (Right to Buy) | $3.675 | May 22, 2017 | M | 39,761 | D | Apr 18, 2012 | Apr 17, 2021 | Common Stock | 39,761 | 0 | 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 $11.25 to $11.325, 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.
- F3The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $11.275 to $11.575, 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.
- F4These shares are held directly by the SMSEJ Family Trust U/A dated July 18, 2005 of which Mr. Boal is a co-trustee.
- F5These shares are held directly by Steven R. Boal TTEE of the Steven R Boal Annuity Trust dated December 6, 2013.
- F6These shares are held directly by Steven R. Boal TTEE of the Michelle L Boal Annuity Trust dated December 6, 2013.
- 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