SEC Form 4 · accession 0001209191-16-144497

MINDBODY, Inc. · MB

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — President & CEO · Director · 10% Owner

Period of report

Oct 3, 2016

Accepted (ET)

Oct 4, 2016 · 5:23 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 Stock^F2	Oct 3, 2016	C	21,760	$0.00	A	82,191	D
Class A Common Stock^F4,F2	Oct 3, 2016	S	21,760	$19.4439	D	60,431	D

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)^F5	—	Oct 3, 2016	C	21,760	A	—	—	Class A Common Stock	21,760	1,005,350	D
Class B Common Stock (convertible into Class A Common Stock)^F6,F5	—	holding	—	—	—	—	—	Class A Common Stock	23,750	23,750	I
Class B Common Stock (convertible into Class A Common Stock)^F7,F5	—	holding	—	—	—	—	—	Class A Common Stock	1,250	1,250	I
Class B Common Stock (convertible into Class A Common Stock)^F8,F5	—	holding	—	—	—	—	—	Class A Common Stock	1,250	1,250	I

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.
F4The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $19.27 to $19.77, inclusive. Upon request by the Commission staff, the Issuer, or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
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.
F7The shares are held of record by the Reporting Person as custodian for the benefit of his minor child.
F8The shares are held of record by the Reporting Person's spouse as custodian for the benefit of her minor child.