SEC Form 4 · accession 0001209191-16-087740
MEDASSETS INC · MDAS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Rand A Ballard
Officer — Chief Customer Officer · Director
Period of report
Dec 31, 2015
Accepted (ET)
Jan 4, 2016 · 4:03 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001254419
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Dec 31, 2015 | F | 11,542 | $0.00 | A | 120,360 | D | |
| Common StockF1 | Dec 31, 2015 | D | 3,850 | $0.00 | D | 116,510 | D | |
| Restricted Stock | holding | — | — | — | 4,308 | D | ||
| Restricted Stock | holding | — | — | — | 4,080 | D | ||
| Restricted Stock | holding | — | — | — | 3,683 | D | ||
| Restricted Stock Units | holding | — | — | — | 7,721 | D | ||
| Restricted Stock Units | holding | — | — | — | 8,106 | D | ||
| Restricted Stock Units | holding | — | — | — | 5,928 | D | ||
| Restricted Stock Units | holding | — | — | — | 13,151 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock-Settled Stock Appreciation RightsF2 | $14.74 | Dec 31, 2015 | M | 22,042 | D | — | Jan 4, 2016 | Common Stock | 22,042 | 0 | D |
Explanation of responses
- F1On December 31, 2015, the reporting person delivered a total of 3,850 shares back to the Company to cover the reporting person's tax liability associated with the stock-settled stock appreciation rights (SSARs) exercise.
- F2The reporting person was granted these SSARs on January 5, 2009 and are fully vested.