0001569608-16-000066.txt : 20161020
0001569608-16-000066.hdr.sgml : 20161020
20161020212627
ACCESSION NUMBER: 0001569608-16-000066
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161018
FILED AS OF DATE: 20161020
DATE AS OF CHANGE: 20161020
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: 6600 LBJ FREEWAY
STREET 2: STE 210
CITY: DALLAS
STATE: TX
ZIP: 75240
BUSINESS PHONE: 206-395-4152
MAIL ADDRESS:
STREET 1: 6600 LBJ FREEWAY
STREET 2: STE 210
CITY: DALLAS
STATE: TX
ZIP: 75240
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: 161945179
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
2016-10-18
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
2016-10-18
4
P
0
950
1.2
A
5382943
I
General Partner
Ordinary Shares
2016-10-20
4
P
0
5000
1.2518
A
5387943
I
General Partner
Acquired by Columbia Pacific Opportunity Fund, L.P.
Columbia Pacific Opportunity Fund, L.P. owns 5,350,003 Ordinary Shares
Columbia Pacific Partners Fund (Delaware), L.P. owns 37,940 Ordinary Shares
Alexander Washburn
2016-10-20