SEC Form 4 · accession 0001513908-17-000002
ELLIE MAE INC · ELLI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sigmund Anderman
Officer — Founder & Executive Chairman · Director
Period of report
Feb 15, 2017
Accepted (ET)
Feb 21, 2017 · 8:21 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 | Feb 15, 2017 | F | 3,262 | $0.00 | D | 118,654 | D | |
| Common StockF1 | Feb 17, 2017 | S | 2,988 | $93.2903 | D | 115,666 | D | |
| Common StockF1 | Feb 17, 2017 | S | 18,835 | $93.2903 | D | 217,257 | I | by Trust |
| Common Stock | holding | — | — | — | 10,000 | I | by 401(k) Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-Qualified Stock Option (right to buy)F3,F2 | $94.66 | Feb 15, 2017 | A | 6,601 | A | — | Feb 15, 2027 | Common Stock | 6,601 | 6,601 | D |
Explanation of responses
- F1The price reported is a weighted average price. The shares were sold in multiple transactions ranging from $93.14 to $93.64, inclusive. The reporting person undertakes to provide to Ellie Mae, Inc., any security holder of Ellie Mae, 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 ranges set forth in footnote (1) to this Form 4.
- F225% of the stock option shares vest on one year anniversary of grant date, 1/48th of the total shares vest monthly thereafter.
- F3The reported transaction is a grant of a derivative security, in which we have left column 8 blank, and have reported the exercise or conversion price of the derivative security in column 2.