SEC Form 4 · accession 0001140361-17-013841
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
Mar 27, 2017
Accepted (ET)
Mar 29, 2017 · 9:19 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 | Mar 27, 2017 | A | 5,652 | $0.00 | A | 5,652 | 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 | $14.00 | Mar 27, 2017 | A | 2,000 | A | — | Jul 30, 2024 | Common Stock | 2,000 | 3,000 | D |
| Stock Option (right to buy)F3 | $1.50 | holding | — | — | — | — | May 9, 2023 | Common Stock | 62,500 | 62,500 | D |
| Stock Option (right to buy)F2 | $1.50 | holding | — | — | — | — | May 9, 2023 | Common Stock | 100,000 | 100,000 | D |
| Stock Option (right to buy)F4 | $24.36 | holding | — | — | — | — | Mar 23, 2026 | Common Stock | 65,000 | 65,000 | D |
Explanation of responses
- F1On June 30, 2014, the reporting person was granted an option to purchase 10,000 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 2,000 shares.
- F2The option is immediately exercisable.
- F3The option is immediately exercisable as to 37,500 shares. The option becomes exercisable as to the remaining 25,000 shares on May 9, 2017.
- F4The option is immediately exercisable as to 16,250 shares. The option becomes exercisable as to the remaining 48,750 shares in three equal installments on March 23, 2018, 2019 and 2020.
Remarks
The Power of Attorney given by Ms. Dreier was previously filed with the U.S. Securities & Exchange Commission on April 30, 2015 as an exhibit to a statement on Form 4 filed by Ms. Dreier with respect to HealthEquity, Inc. and is hereby incorporated by reference.