SEC Form 4 · accession 0001209191-16-127473
BOX INC · BOX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Daniel J Levin
Officer — President & COO · Director
Period of report
Jun 9, 2016
Accepted (ET)
Jun 13, 2016 · 8:07 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001372612
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1 | Jun 9, 2016 | C | 83,011 | $0.00 | A | 83,011 | I | See footnote |
| Class A Common StockF1 | Jun 9, 2016 | J | 83,011 | $0.00 | D | 0 | I | See footnote |
| Class A Common StockF3 | Jun 9, 2016 | C | 83,011 | $0.00 | A | 83,011 | I | See footnote |
| Class A Common StockF3 | Jun 9, 2016 | J | 83,011 | $0.00 | D | 0 | I | See footnote |
| Class A Common StockF5 | holding | — | — | — | 3,079 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class B Common StockF6,F1 | — | Jun 9, 2016 | C | 83,011 | D | — | — | Class A Common Stock | 83,011 | 0 | I |
| Class B Common StockF6,F3 | — | Jun 9, 2016 | C | 83,011 | D | — | — | Class A Common Stock | 83,011 | 0 | I |
| Class B Common StockF6,F7,F8 | — | holding | — | — | — | — | — | Class A Common Stock | 1,388,600 | 1,388,600 | I |
Explanation of responses
- F1The shares are held of record by the Daniel Levin GRAT dated 12/10/13 ("Levin GRAT"), for which the Reporting Person serves as trustee.
- F2Shares of Class A Common Stock were distributed pursuant to the terms of, and in connection with, the termination of the Levin GRAT.
- F3The shares are held of record by the Naomi J. Andrews GRAT dated 12/10/13 ("Andrews GRAT"), for which the Reporting Person's spouse serves as trustee.
- F4Shares of Class A Common Stock were distributed pursuant to the terms of, and in connection with, the termination of the Andrews GRAT.
- F5These shares were acquired by the Reporting Person pursuant to the Issuer's Employee Stock Purchase Plan.
- F6Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.
- F7This amount reflects the transfer of 51,173 shares of Class B Common Stock from the Levin GRAT and 51,173 shares of Class B Common Stock from the Andrews GRAT to Daniel J. Levin and Naomi J. Andrews, as Trustees of the Levin/Andrews Family Trust dated 9/18/99 ("Levin/Andrews Family Trust") as an annuity payment.
- F8The shares are held of record by Daniel J. Levin and Naomi J. Andrews, as Trustees of the Levin/Andrews Family Trust.