SEC Form 4 · accession 0001140361-16-079829
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
Sep 12, 2016
Accepted (ET)
Sep 14, 2016 · 6:40 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 | Sep 12, 2016 | M | 56,561 | $1.25 | A | 476,561 | D | |
| Common Stock | Sep 12, 2016 | M | 63,556 | $0.10 | A | 540,117 | D | |
| Common StockF2 | Sep 12, 2016 | S | 120,117 | $33.0993 | D | 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)F3 | $1.25 | Sep 12, 2016 | M | 56,561 | D | — | Aug 8, 2021 | Common Stock | 56,561 | 325,000 | D |
| Stock Option (right to buy)F3 | $0.10 | Sep 12, 2016 | M | 63,556 | D | — | Mar 26, 2019 | Common Stock | 63,556 | 140,000 | D |
| Stock Option (right to buy)F3 | $14.00 | holding | — | — | — | — | Jul 30, 2024 | Common Stock | 40,000 | 40,000 | D |
Explanation of responses
- F1The option exercises and subsequent sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on September 16, 2015.
- F2The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $33.00 to $33.65, 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 range set forth in this footnote (2) to this Form 4.
- F3The option is immediately exercisable.