SEC Form 4 · accession 0001209191-16-130273
MINDBODY, Inc. · MB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard Lee Stollmeyer
Officer — President & CEO · Director · 10% Owner
Period of report
Jun 29, 2016
Accepted (ET)
Jun 30, 2016 · 5:39 pm EDT
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 | Jun 29, 2016 | C | 5,440 | $0.00 | A | 65,871 | D | |
| Class A Common StockF2 | Jun 29, 2016 | S | 5,440 | $16.00 | D | 60,431 | D |
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 Stock (convertible into Class A Common Stock)F4 | — | Jun 29, 2016 | C | 5,440 | A | — | — | Class A Common Stock | 5,440 | 1,092,390 | D |
| Class B Common Stock (convertible into Class A Common Stock)F5,F4 | — | holding | — | — | — | — | — | Class A Common Stock | 23,750 | 23,750 | I |
| Class B Common Stock (convertible into Class A Common Stock)F6,F4 | — | holding | — | — | — | — | — | Class A Common Stock | 1,250 | 1,250 | I |
| Class B Common Stock (convertible into Class A Common Stock)F7,F4 | — | holding | — | — | — | — | — | Class A Common Stock | 1,250 | 1,250 | 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.
- F2Includes 43,177 RSUs. Each RSU represents a contingent right to receive one share of the Issuer's Class A common stock upon settlement.
- F3The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person.
- F4Each 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.
- F5The shares are held of record by the Reporting Person's spouse.
- F6The shares are held of record by the Reporting Person as custodian for the benefit of his minor child.
- F7The shares are held of record by the Reporting Person's spouse as custodian for the benefit of her minor child.