SEC Form 4 · accession 0001601082-15-000006
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
Feb 20, 2015
Accepted (ET)
Feb 24, 2015 · 9:00 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 StockF1 | Feb 20, 2015 | M | 62,500 | $0.00 | A | 127,634 | I | By Family Trust |
| Common StockF3,F1 | Feb 23, 2015 | S | 8,065 | $10.0661 | D | 119,569 | I | By Family Trust |
| Common StockF4,F1 | Feb 24, 2015 | S | 8,112 | $10.0246 | D | 111,457 | I | By Family Trust |
| Common StockF5,F1 | Feb 24, 2015 | S | 3,831 | $10.0525 | D | 107,626 | I | By Family Trust |
| Common Stock | holding | — | — | — | 5,416 | D | ||
| Common StockF6 | holding | — | — | — | 8,511 | I | By Child Trust | |
| Common StockF7 | holding | — | — | — | 8,511 | I | By Child Trust | |
| Common StockF8 | holding | — | — | — | 8,511 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF9,F10 | — | Feb 20, 2015 | M | 62,500 | D | — | — | Common Stock | 62,500 | 187,500 | 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.
- F101/4th of the restricted stock unit granted on May 1, 2014 became vested on February 20, 2015 and shares were delivered to reporting person on that date. 1/4th of the restricted stock unit continues to vest annually and shares will be delivered to reporting person on each vest date.
- F2These sales were made pursuant to an Issuer approved "Sales to Cover Plan" in order to cover withholding taxes incident to the vesting of the restricted stock unit.
- F3The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $10.06 to $10.075, 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.
- F4The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $9.94 to $10.08, 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.
- F5The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $9.96 to $10.16, 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.
- F6These shares are held directly by Wojcicech Sobieszcaznski TTEE of the Brandon Noah Hornstein Trust dated December 24, 2013.
- F7These shares are directly by Wojcicech Sobieszcaznski TTEE of the Dylan Cole Hornstein Trust dated December 24, 2013.
- F8These shares are held directly by Wojcicech Sobieszcaznski TTEE of the Lucas Jaden Hornstein Trust dated December 24, 2013.
- F9The par value of COUP common stock is $0.00001 per share