SEC Form 4 · accession 0001209191-16-151480
MINDBODY, Inc. · MB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brett T White
Officer — CFO & COO
Period of report
Nov 17, 2016
Accepted (ET)
Nov 21, 2016 · 5:26 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 | Nov 17, 2016 | C | 20,000 | $0.00 | A | 50,224 | D | |
| Class A Common StockF2 | Nov 17, 2016 | S | 20,000 | $22.00 | D | 30,224 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy) | $7.708 | Nov 17, 2016 | M | 20,000 | D | Jun 24, 2016 | Jun 27, 2023 | Class B Common Stock | 20,000 | 299,467 | D |
| Class B Common StockF4 | — | Nov 17, 2016 | M | 20,000 | A | — | — | Class A Common Stock | 20,000 | 20,000 | D |
| Class B Common StockF4 | — | Nov 17, 2016 | C | 20,000 | D | — | — | Class A Common Stock | 20,000 | 0 | D |
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 30,224 restricted stock units ("RSUs"), where 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.