SEC Form 4/A · accession 0001209191-16-092237
MINDBODY, Inc. · MB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Robert John Murphy
Officer — Chief Operating Officer · Director
Period of report
Jan 5, 2016
Accepted (ET)
Jan 19, 2016 · 7:51 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001458962
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF2 | Jan 5, 2016 | C | 12,600 | $0.00 | A | 12,600 | D | |
| Class A Common StockF2,F3 | Jan 5, 2016 | C | 2,400 | $0.00 | A | 2,400 | I | See Footnote (3) |
| Class A Common StockF4 | Jan 6, 2016 | C | 16,400 | $0.00 | A | 16,400 | D | |
| Class A Common StockF4,F3 | Jan 6, 2016 | C | 3,200 | $0.00 | A | 3,200 | I | See Footnote (3) |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class B Common StockF5 | — | Jan 5, 2016 | C | 12,600 | D | — | — | Class A Common Stock | 12,600 | 953,337 | D |
| Class B Common StockF5 | — | Jan 5, 2016 | C | 2,400 | D | — | — | Class A Common Stock | 2,400 | 179,500 | I |
| Class B Common StockF5 | — | Jan 6, 2016 | C | 16,400 | D | — | — | Class A Common Stock | 16,400 | 936,937 | D |
| Class B Common StockF5 | — | Jan 6, 2016 | C | 3,200 | D | — | — | Class A Common Stock | 3,200 | 176,300 | I |
| Class B Common StockF6,F5 | — | holding | — | — | — | — | — | Class A Common Stock | 13,750 | 13,750 | I |
Explanation of responses
- F1Each share of Class A Common Stock was issued upon the conversion of one share of Class B Common Stock at the election of Reporting Person.
- F2Due to a broker's administrative error, a sale on January 5, 2016 was mistakenly reported when in fact such sale did not occur. This amended report retracts that reported sale. The number of Class A Common Stock shares reported in Column 5 of Table I is the number owned by the Reporting Person as of January 5, 2016.
- F3The shares are held of record by the Robert John Murphy Family Trust, for which the Reporting Person's spouse serves as trustee.
- F4Due to a broker's administrative error, a sale on January 6, 2016 was mistakenly reported when in fact such sale did not occur. This amended report retracts that reported sale. The number of Class A Common Stock shares reported in Column 5 of Table I is the number owned by the Reporting Person as of January 6, 2016.
- F5Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.
- F6The shares are held of record by the Reporting Person's spouse.