0001569608-17-000009.txt : 20170404
0001569608-17-000009.hdr.sgml : 20170404
20170404220005
ACCESSION NUMBER: 0001569608-17-000009
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170329
FILED AS OF DATE: 20170404
DATE AS OF CHANGE: 20170404
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: 17740983
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
2017-03-29
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
2017-03-31
4
P
0
10000
0.85
A
7144072
I
General Partner
Ordinary Shares
2017-04-03
4
P
0
757575
0.66
A
7901647
I
General Partner
Ordinary Shares
2017-04-04
4
P
0
1091442
0.01
A
8993089
I
General Partner
Warrants (Right to Buy)
0.01
2017-03-29
4
J
0
735294
0
A
2017-03-29
2020-03-28
Ordinary Shares
735294
735294
I
General Partner
Warrants (Right to Buy)
0.01
2017-04-04
4
X
0
735294
0.01
D
2017-03-29
2020-03-28
Ordinary Shares, NIS 0.04 par value
735294
0
I
General Partner
Warrants (Right to Buy)
0.01
2017-04-04
4
X
0
356148
0.01
D
2015-12-29
2018-12-29
Ordinary Shares, NIS 0.04 par value
356148
0
I
General Partner
Acquired by Columbia Pacific Opportunity Fund, L.P.
Columbia Pacific Opportunity Fund, L.P. owns 8,956,556 Ordinary Shares
Columbia Pacific Partners Fund (Delaware), L.P. owns 36,533 Ordinary Shares
These warrants were received by a Proxy Vote of the shareholders on March 29, 2017. Under Proxy Proposal No. 8, in exchange for extending an existing guaranty to the Credit Agreement between Modern Systems Corporation, a wholly owned subsidiary of the Issuer, and Comerica Bank during 2016, Columbia Pacific Opportunity Fund, L.P. received 367,647 warrants.
Under Proxy Proposal No. 9, in exchange for extending the existing guaranty to the Credit Agreement mentioned above during calendar year 2017, Columbia Pacific Opportunity Fund, L.P. received 367,647 warrants.
These warrants were issued in exchange for Columbia Pacific Opportunity Fund, L.P. and certain other shareholders providing a guaranty with respect to the Credit Agreement.
Exercised by Columbia Pacific Opportunity Fund, L.P.
100,000 of these warrants expiration date was 12/31/2018
Acquired by Columbia Pacific Opportunity Fund, L.P. on the exercise of warrants listed under Derivative Securities
Acquired by Columbia Pacific Opportunity Fund, L.P. under Proxy Proposal No. 8 approved by the vote of the shareholders on March 29, 2017.
Alexander Washburn
2017-04-04