SEC Form 4 · accession 0001140361-16-059035
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
Mar 23, 2016
Accepted (ET)
Mar 25, 2016 · 3:27 pm EDT
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 | holding | — | — | — | 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)F1 | $14.00 | Mar 23, 2016 | A | 10,000 | D | — | Jul 30, 2024 | Common Stock | 10,000 | 10,000 | D |
| Stock Option (right to buy)F1 | $0.10 | holding | — | — | — | — | Jun 20, 2017 | Common Stock | 204,000 | 204,000 | D |
| Stock Option (right to buy)F1 | $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)F2 | $25.39 | holding | — | — | — | — | Mar 26, 2025 | Common Stock | 25,000 | 25,000 | D |
Explanation of responses
- F1The option is immediately exercisable.
- F2The option becomes exercisable in four equal annual installments on March 26, 2016, 2017, 2018 and 2019.