SEC Form 4 · accession 0001179110-18-009540
HEALTHEQUITY, INC. · HQY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Evelyn S Dilsaver
Director
Period of report
Jul 5, 2018
Accepted (ET)
Jul 6, 2018 · 6:56 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 | Jul 5, 2018 | M | 15,000 | $25.39 | A | 28,193 | D | |
| Common StockF1 | Jul 5, 2018 | S | 15,000 | $77.4624 | D | 13,193 | 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)F2 | $25.39 | Jul 5, 2018 | M | 15,000 | D | — | Mar 26, 2025 | Common Stock | 15,000 | 0 | D |
| Stock Option (right to buy)F2 | $21.27 | holding | — | — | — | — | Feb 1, 2026 | Common Stock | 15,000 | 15,000 | D |
| Stock Option (right to buy)F2 | $14.00 | holding | — | — | — | — | Jul 30, 2024 | Common Stock | 7,500 | 7,500 | D |
| Stock Option (right to buy)F2 | $14.00 | holding | — | — | — | — | Jul 30, 2024 | Common Stock | 25,000 | 25,000 | D |
| Stock Option (right to buy)F3 | $50.41 | holding | — | — | — | — | Feb 1, 2028 | Common Stock | 4,339 | 4,339 | D |
Explanation of responses
- F1The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $77.35 to $77.54, 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 (1) to this Form 4.
- F2The option is immediately exercisable.
- F3The option is immediately exercisable as to 2,169 shares. The remaining shares will become exercisable on January 31, 2019.
Remarks
The Power of Attorney given by Ms. Dilsaver 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 Ms. Dilsaver with respect to HealthEquity, Inc. and is hereby incorporated by reference.