0001569608-15-000030.txt : 20151221
0001569608-15-000030.hdr.sgml : 20151221
20151221214721
ACCESSION NUMBER: 0001569608-15-000030
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151217
FILED AS OF DATE: 20151221
DATE AS OF CHANGE: 20151221
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Modsys International Ltd
CENTRAL INDEX KEY: 0001029581
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371]
IRS NUMBER: 000000000
STATE OF INCORPORATION: L3
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: TWO UNION SQUARE, SUITE 4616
CITY: SEATTLE
STATE: WA
ZIP: 98101
BUSINESS PHONE: 206-395-4152
MAIL ADDRESS:
STREET 1: TWO UNION SQUARE, SUITE 4616
CITY: SEATTLE
STATE: WA
ZIP: 98101
FORMER COMPANY:
FORMER CONFORMED NAME: BLUEPHOENIX SOLUTIONS LTD
DATE OF NAME CHANGE: 20030811
FORMER COMPANY:
FORMER CONFORMED NAME: CRYSTAL SYSTEMS SOLUTIONS LTD
DATE OF NAME CHANGE: 19961224
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Columbia Pacific Advisors, LLC
CENTRAL INDEX KEY: 0001569608
STATE OF INCORPORATION: WA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 333-06208
FILM NUMBER: 151300670
BUSINESS ADDRESS:
STREET 1: 1910 FAIRVIEW AVE E
STREET 2: SUITE 200
CITY: SEATTLE
STATE: WA
ZIP: 98102
BUSINESS PHONE: 206-728-9063
MAIL ADDRESS:
STREET 1: 1910 FAIRVIEW AVE E
STREET 2: SUITE 200
CITY: SEATTLE
STATE: WA
ZIP: 98102
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2015-12-17
0
0001029581
Modsys International Ltd
MDSY
0001569608
Columbia Pacific Advisors, LLC
1910 FAIRVIEW AVE E
SUITE 200
SEATTLE
WA
98102
0
0
1
0
Ordinary Shares
2015-12-17
4
P
0
6292
2.1192
A
5160945
I
General Partner
Ordinary Shares
2015-12-21
4
P
0
3000
2.1493
A
5163945
I
General Partner
Acquired by Columbia Pacific Opportunity Fund, L.P.
Columbia Pacific Opportunity Fund, L.P. owns 5,126,005 Ordinary Shares
Columbia Pacific Partners Fund, Ltd. owns 37,940 Ordinary Shares
Alexander Washburn
2015-12-21