SEC Form 4 · accession 0001140361-17-029923
HEALTHEQUITY, INC. · HQY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael O Leavitt
Director
Period of report
Aug 1, 2017
Accepted (ET)
Aug 2, 2017 · 6:16 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 | Aug 1, 2017 | M | 15,000 | $21.27 | A | 45,862 | D | |
| Common Stock | Aug 1, 2017 | M | 15,000 | $25.39 | A | 60,862 | D | |
| Common Stock | Aug 1, 2017 | M | 15,000 | $14.00 | A | 75,862 | D | |
| Common StockF1 | holding | — | — | — | 13,767 | I | See footnote |
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)F2 | $21.27 | Aug 1, 2017 | M | 1 | D | — | Feb 1, 2026 | Common Stock | 15,000 | 0 | D |
| Stock Option (right to buy)F2 | $25.39 | Aug 1, 2017 | M | 1 | D | — | Mar 26, 2025 | Common Stock | 15,000 | 0 | D |
| Stock Option (right to buy)F2 | $14.00 | Aug 1, 2017 | M | 1 | D | — | Jul 30, 2024 | Common Stock | 15,000 | 0 | D |
| Stock Option (right to buy)F2 | $46.40 | holding | — | — | — | — | Feb 1, 2027 | Common Stock | 4,837 | 4,837 | D |
Explanation of responses
- F1Shares held directly by Third Chapter, Inc. ("Third Chapter"), an entity controlled by the reporting person. The reporting person disclaims beneficial ownership of the shares held by Third Chapter except to the extent of his pecuniary interest therein and this report shall not be deemed an admission that the reporting person is the beneficial owner of the shares held by Third Chapter for any other purposes.
- F2The option is immediately exercisable.
Remarks
The Power of Attorney given by Mr. Leavitt was previously filed with the U.S. Securities & Exchange Commission on February 3, 2017, as an exhibit to a statement on Form 4 filed by Mr. Leavitt with respect to HealthEquity, Inc. and is hereby incorporated by reference.