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