SEC Form 4 · accession 0001140361-16-050692
HEALTHEQUITY, INC. · HQY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jon Kessler
Officer — President and CEO · Director
Period of report
Feb 5, 2016
Accepted (ET)
Feb 8, 2016 · 8:36 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 | Feb 5, 2016 | M | 20,000 | $1.25 | A | 420,000 | 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)F1,F2 | $1.25 | Feb 5, 2016 | M | 20,000 | D | — | Aug 8, 2021 | Common Stock | 20,000 | 480,000 | D |
| Stock Option (right to buy)F2 | $0.10 | holding | — | — | — | — | Jul 1, 2019 | Common Stock | 75,000 | 75,000 | D |
| Stock Option (right to buy)F3,F2 | $0.10 | holding | — | — | — | — | Jul 1, 2019 | Common Stock | 70,000 | 70,000 | D |
| Stock Option (right to buy)F2 | $0.10 | holding | — | — | — | — | Mar 26, 2019 | Common Stock | 300,000 | 300,000 | D |
Explanation of responses
- F1As previously reported in the reporting person's Form 3, the option grant had a $2.25 exercise price upon issuance. The $2.25 exercise price was automatically adjusted to $1.25 on August 4, 2014 as a result of the occurrence of an event specified in the terms of the option grant at the time of its issuance.
- F2The option is immediately exercisable.
- F3As previously reported in the reporting person's Form 3, the option grant had a $1.10 exercise price upon issuance. The $1.10 exercise price was automatically adjusted to $0.10 on August 4, 2014 as a result of the occurrence of an event specified in the terms of the option grant at the time of its issuance.