SEC Form 4 · accession 0001209191-17-066056

MINDBODY, Inc. · MB

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

Reporting owner

Officer — CEO · Director

Period of report

Dec 14, 2017

Accepted (ET)

Dec 15, 2017 · 6:42 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 14, 2017	C	2,834	$0.00	A	104,811	D
Class A Common Stock^F2	Dec 14, 2017	G	2,834	$0.00	D	101,977	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 14, 2017	C	2,834	D	—	—	Class A Common Stock	2,834	735,407	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 95,240 restricted stock units ("RSUs"). Each RSU represents a contingent right to receive one share of Issuer's Class A Common Stock upon settlement.
F3The reporting person transferred the shares as gifts to 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's child.
F7The shares are held of record by the Reporting Person's spouse as custodian for the benefit of her minor child.