SEC Form 4 · accession 0001140361-15-045337
HEALTHEQUITY, INC. · HQY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Darcy G Mott
Officer — Executive VP and CFO
Period of report
Dec 21, 2015
Accepted (ET)
Dec 22, 2015 · 3:51 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001428336
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Dec 21, 2015 | M | 14,000 | $0.10 | A | 48,000 | D | |
| Common StockF2 | Dec 21, 2015 | S | 10,000 | $25.6982 | D | 38,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F3 | $0.10 | Dec 21, 2015 | M | 14,000 | D | — | Jun 20, 2017 | Common Stock | 14,000 | 204,000 | D |
| Stock Option (right to buy)F3 | $0.10 | holding | — | — | — | — | May 22, 2018 | Common Stock | 20,000 | 20,000 | D |
| Stock Option (right to buy) | $1.25 | holding | — | — | — | Aug 5, 2015 | Aug 8, 2021 | Common Stock | 125,000 | 125,000 | D |
| Stock Option (right to buy)F4 | $25.39 | holding | — | — | — | — | Mar 26, 2025 | Common Stock | 25,000 | 25,000 | D |
Explanation of responses
- F1The option exercise and subsequent sale reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on July 15, 2015.
- F2The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $25.35 to $26.09, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, 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 this footnote (2) to this Form 4.
- F3The option is immediately exercisable.
- F4The option becomes exercisable in four equal annual installments on March 26, 2016, 2017, 2018 and 2019.