SEC Form 4 · accession 0001179110-16-025447
BLOOMIA HOLDINGS, INC. · TULP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John Gonsior
Officer — CFO
Period of report
May 21, 2016
Accepted (ET)
May 24, 2016 · 2:58 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000875355
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | May 21, 2016 | M | 1,667 | — | A | 27,115 | D | |
| Common StockF3 | May 21, 2016 | F | 545 | $2.24 | D | 32,719 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1,F2 | — | May 21, 2016 | M | 1,667 | A | — | — | Common Stock | 1,667 | 1,666 | D |
Explanation of responses
- F1Restricted stock units convert into common stock on a one-for-one basis.
- F2On May 21, 2014, the reporting person was granted 5,000 restricted stock units, vesting in three substantially equal installments beginning on the first anniversary of the grant date.
- F3Includes 30,643 shares acquired between December 31, 2012 and December 31, 2015 pursuant to issuer's employee stock purchase plan.