SEC Form 4 · accession 0001209191-16-156499

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

Dec 21, 2016

Accepted (ET)

Dec 22, 2016 · 4:17 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 Stock^F2	Dec 21, 2016	C	14,392	$0.00	A	74,823	D
Class A Common Stock^F2	Dec 21, 2016	G	14,392	$0.00	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)^F4	—	Dec 21, 2016	C	14,392	D	—	—	Class A Common Stock	14,392	947,438	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

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 reporting person transferred the shares as gifts to various charitable organizations.
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.