0001209191-18-019082.txt : 20180313 0001209191-18-019082.hdr.sgml : 20180313 20180313145410 ACCESSION NUMBER: 0001209191-18-019082 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180311 FILED AS OF DATE: 20180313 DATE AS OF CHANGE: 20180313 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SUBIN NEIL S CENTRAL INDEX KEY: 0001201333 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29637 FILM NUMBER: 18686181 MAIL ADDRESS: STREET 1: 8 PALM COURT CITY: SEWALLS POINT STATE: FL ZIP: 34996 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DETERMINE, INC. CENTRAL INDEX KEY: 0001090908 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 770432030 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 615 WEST CARMEL DRIVE STREET 2: SUITE 100 CITY: CARMEL STATE: IN ZIP: 46032 BUSINESS PHONE: 650-532-1500 MAIL ADDRESS: STREET 1: 615 WEST CARMEL DRIVE STREET 2: SUITE 100 CITY: CARMEL STATE: IN ZIP: 46032 FORMER COMPANY: FORMER CONFORMED NAME: SELECTICA INC DATE OF NAME CHANGE: 19991203 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-03-11 0 0001090908 DETERMINE, INC. DTRM 0001201333 SUBIN NEIL S 3300 SOUTH DIXIE HIGHWAY SUITE 1-365 WEST PALM BEACH FL 33405 0 0 1 0 Common Stock 1326315 I By Milfam II L.P. Common Stock 354788 I By LIM III - Trust A-4 Common Stock 354787 I By MBM - Trust A-4 Common Stock 301590 I By Trust C - Lloyd I. Miller Common Stock 211351 I By Milfam I L.P. Common Stock 2100 I By Trust D - Lloyd I. Miller Common Stock 250820 I By Lloyd I. Miller, III Revocable Trust Junior Secured Convertible Promissory Note and PIK Interest 5.70 2018-03-11 4 J 0 19111.04 A 2015-05-05 2020-12-16 Common Stock 3352 142342 I By Milfam II L.P. Junior Secured Convertible Promissory Note and PIK Interest 5.70 2018-03-11 4 J 0 19110.98 A 2015-05-05 2020-12-16 Common Stock 3352 142342 I By Lloyd I. Miller, III Revocable Trust Junior Secured Convertible Promissory Note and PIK Interest 5.70 2018-03-11 4 J 0 9555.49 A 2015-05-05 2020-12-16 Common Stock 1676 71171 I By LIM III - Trust A-4 Junior Secured Convertible Promissory Note and PIK Interest 5.70 2018-03-11 4 J 0 9555.49 A 2015-05-05 2020-12-16 Common Stock 1676 71171 I By MBM - Trust A-4 Except for possessing voting and dispositive power, the reporting person disclaims any other beneficial ownership of, and specifically any pecuniary interest in, the securities reported herein. This filing is not, and shall not be deemed, an admission (and the reporting person expressly disclaims) that the reporting person is, for purposes of Rule 16a-1(a)(2) under Section 16 of the Securities Exchange Act of 1934, the beneficial owner of any equity securities covered by this filing. Mr. Neil Subin succeeded to the position of President and Manager of MILFAM LLC, which serves as manager, general partner, or investment advisor of a number of entities formerly managed or advised by the late Lloyd I. Miller, III. Mr. Subin also serves as trustee of a number of Miller family trusts. Subject to adjustment for fractional shares. At the election of the Issuer, the quarterly interest payment has been paid as paid-in-kind interest compounded to the original principal amount of the Note. Includes all previously reported PIK Interest on Junior Secured Convertible Promissory Note. /s/ Paul N. Silverstein Attorney-in-fact 2018-03-13