SEC Form 4 · accession 0001123292-18-001110
SERVICESOURCE INTERNATIONAL, INC. · SREV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gary B Moore
Officer — CEO · Director
Period of report
Dec 7, 2018
Accepted (ET)
Dec 11, 2018 · 4:15 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001310114
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 7, 2018 | A | 500,000 | $0.00 | A | 706,198 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy)F2 | $1.20 | Dec 7, 2018 | A | 1,000,000 | A | — | Dec 7, 2028 | Common Stock | 1,000,000 | 1,000,000 | D |
Explanation of responses
- F1The reported shares are represented by restricted stock units that vest in equal installments on December 7, 2019 and December 7, 2020.
- F2One-half of the shares subject to the option vest on December 7, 2019 and one twenty-fourth of the shares vest monthly thereafter.