SEC Form 4 · accession 0001140361-17-013838
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 27, 2017
Accepted (ET)
Mar 29, 2017 · 9:11 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 | — | — | — | 68,000 | 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 | $41.28 | Mar 27, 2017 | A | 19,897 | A | — | Mar 27, 2027 | Common Stock | 19,897 | 19,897 | D |
| Stock Option (right to buy)F2,F3 | $14.00 | Mar 27, 2017 | A | 20,000 | A | — | Jul 30, 2024 | Common Stock | 20,000 | 30,000 | D |
| Stock Option (right to buy)F3 | $0.10 | holding | — | — | — | — | May 22, 2018 | Common Stock | 14,000 | 14,000 | D |
| Stock Option (right to buy)F3 | $1.25 | holding | — | — | — | — | 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 becomes exercisable in three annual installments of 4,974 shares on March 27, 2018, 2019, and 2020 and in one installment of 4,975 shares on March 27, 2021.
- F2On June 30, 2014, the reporting person was granted an option to purchase 100,000 shares of common stock. The option vests in annual installments based on the issuer's satisfaction of certain performance criteria for each of the fiscal years ending January 31, 2016 (10%), 2017 (20%), 2018 (30%) and 2019 (40%). The performance criteria for 2017 were met, resulting in the vesting of the option as to 20,000 shares.
- F3The option is immediately exercisable.
- F4The option became exercisable as to 6,250 shares on each of March 26, 2016 and 2017. The remaining shares become exercisable in two equal annual installments of 6,250 shares on March 26, 2018 and 2019.