SEC Form 5 · accession 0001601045-18-000001
Quotient Technology Inc. · QUOT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Steven R. Boal
Officer — Executive Chairman · Director
Period of report
Dec 31, 2017
Accepted (ET)
Feb 13, 2018 · 8:33 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 | Nov 16, 2017 | G | 544,190 | $0.00 | D | 3,250,146 | D | |
| Common StockF1 | holding | — | — | — | 7,882 | I | By Family Trust | |
| Common StockF2 | holding | — | — | — | 564,328 | I | By Trust | |
| Common StockF3 | holding | — | — | — | 564,328 | I | By Wife Trust | |
| Common StockF4 | holding | — | — | — | 3,237 | I | By Child Trust | |
| Common StockF5 | holding | — | — | — | 3,237 | I | By Child Trust | |
| Common StockF6 | holding | — | — | — | 3,237 | I | By Child Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These shares are held directly by the SMSEJ Family Trust U/A dated July 18, 2005, of which the reporting person is a co-trustee.
- F2Since the reporting person's last report, 109,595 shares previously held by the SMSEJ Family Trust U/A dated July 18, 2005 have been contributed to the Steven R. Boal Annuity Trust dated December 6, 2013.
- F3Since the reporting person's last report, 109,595 shares previously held by the SMSEJ Family Trust U/A dated July 18, 2005 have been contributed to the Michele L. Boal Annuity Trust dated December 6, 2013.
- F4These shares are held directly by Stuart Shiff TTEE of the EBB 2011 Trust dated September 23, 2011.
- F5These shares are held directly by Stuart Shiff TTEE of the JMB 2011 Trust dated September 23, 2011.
- F6These shares are held directly by Stuart Shiff TTEE of the SEB 2011 Trust dated September 23, 2011.