SEC Form 4 · accession 0001140361-16-088295
HEALTHEQUITY, INC. · HQY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ashley Dreier
Officer — Executive VP, CTO and CIO
Period of report
Nov 28, 2016
Accepted (ET)
Nov 30, 2016 · 9:05 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 | Nov 28, 2016 | M | 5,000 | $1.50 | A | 5,000 | D | |
| Common StockF2 | Nov 28, 2016 | S | 5,000 | $43.3777 | D | 0 | 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 | $1.50 | Nov 28, 2016 | M | 5,000 | D | — | May 9, 2023 | Common Stock | 5,000 | 67,500 | D |
| Stock Option (right to buy)F4 | $1.50 | holding | — | — | — | — | May 9, 2023 | Common Stock | 100,000 | 100,000 | D |
| Stock Option (right to buy)F4 | $14.00 | holding | — | — | — | — | Jul 30, 2024 | Common Stock | 1,000 | 1,000 | D |
| Stock Option (right to buy)F5 | $24.36 | holding | — | — | — | — | Mar 23, 2026 | Common Stock | 65,000 | 65,000 | 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 December 10, 2015 and amended June 13, 2016.
- F2The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $43.13 to $43.62, 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 as to 47,500 shares. The option becomes exercisable as to the remaining 25,000 shares on May 9, 2017.
- F4The option is immediately exercisable.
- F5The option becomes exercisable in four equal installments on March 23, 2017, 2018, 2019 and 2020.