0001569608-16-000076.txt : 20161202
0001569608-16-000076.hdr.sgml : 20161202
20161202210039
ACCESSION NUMBER: 0001569608-16-000076
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161130
FILED AS OF DATE: 20161202
DATE AS OF CHANGE: 20161202
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: 162032513
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
2016-11-30
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
2016-11-30
4
P
0
100
1.12
A
5547437
I
General Partner
Ordinary Shares
2016-12-01
4
P
0
33470
1.2447
A
5580907
I
General Partner
Ordinary Shares
2016-12-02
4
P
0
200
1.2
A
5581107
I
General Partner
Acquired by Columbia Pacific Opportunity Fund, L.P.
Columbia Pacific Opportunity Fund, L.P. owns 5,544,574 Ordinary Shares
Columbia Pacific Partners Fund (Delaware), L.P. owns 36,533 Ordinary Shares
Alexander Washburn
2016-12-02