SEC Form 4 · accession 0001209191-15-080873
INSTRUCTURE INC · INST
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Grizzly Peak, LLC
10% Owner
Period of report
Nov 18, 2015
Accepted (ET)
Nov 18, 2015 · 2:21 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001355754
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Nov 18, 2015 | C | 781,141 | — | A | 2,664,474 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Preferred StockF1,F3 | — | Nov 18, 2015 | C | 256,383 | D | — | — | Common Stock | 256,383 | 0 | D |
| Series B Preferred StockF2,F3 | — | Nov 18, 2015 | C | 524,758 | D | — | — | Common Stock | 524,758 | 0 | D |
Explanation of responses
- F1The Series A Preferred Stock automatically converted into Common Stock on a 1-to-1 basis upon closing of the initial public offering of the Issuer.
- F2The Series B Preferred Stock automatically converted into Common Stock on a 1-to-1 basis upon closing of the initial public offering of the Issuer.
- F3Not applicable.