SEC Form 4 · accession 0001209191-16-149982

ELLIE MAE INC · ELLI

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Founder & Executive Chairman · Director

Period of report

Nov 10, 2016

Accepted (ET)

Nov 14, 2016 · 8:27 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001122388

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1,F2	Nov 10, 2016	J	70,365	$99.48	D	1,588	I	Sig GRAT 2014
Common Stock^F1	Nov 10, 2016	J	70,365	$99.48	A	228,239	D
Common Stock^F3	Nov 10, 2016	G	70,365	$0.00	D	157,874	D
Common Stock^F4	Nov 10, 2016	G	70,365	$0.00	A	252,222	I	by Trust
Common Stock	holding	—	—		—	10,000	I	by 401(k) Plan
Common Stock^F5	holding	—	—		—	3,447	I	Susan GRAT 2014

No Table II lines on this filing.

F1In accordance with an asset substitution provision in the GRAT, the reporting person elected to substitute cash for 70,365 shares of common stock of Ellie Mae, Inc., in his GRAT resulting in a reduction of shares held indirectly in the GRAT and a corresponding increase in shares held directly by him. This substitution may be deemed a purchase. The price per share reflects the average of the high and the low on November 10, 2016, the date of transfer, which is the value assigned to the stock for purposes of determining the amount of cash to be contributed in substitution.
F2The shares are directly held by Sigmund Anderman TTEE Sigmund Anderman 2014 GRAT U/A DTD 12/12/2014.
F3On November 10, 2016, the reporting person contributed 70,365 shares of common stock of Ellie Mae, Inc., to the Sigmund and Susan Anderman Family Trust dated March 3, 2006.
F4These shares are held by Sigmund Anderman, Trustee of the Sigmund and Susan Anderman Family Trust dated March 3, 2006.
F5The shares are directly held by Susan Anderman TTEE Susan Anderman 2014 GRAT U/A DTD 12/12/2014.