0001437749-16-038406.txt : 20160907
0001437749-16-038406.hdr.sgml : 20160907
20160907135120
ACCESSION NUMBER: 0001437749-16-038406
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160828
FILED AS OF DATE: 20160907
DATE AS OF CHANGE: 20160907
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: 2121 SOUTH EL CAMINO REAL
STREET 2: 10TH FLOOR
CITY: SAN MATEO
STATE: CA
ZIP: 94403
BUSINESS PHONE: 650-532-1500
MAIL ADDRESS:
STREET 1: 2121 SOUTH EL CAMINO REAL
STREET 2: 10TH FLOOR
CITY: SAN MATEO
STATE: CA
ZIP: 94403
FORMER COMPANY:
FORMER CONFORMED NAME: SELECTICA INC
DATE OF NAME CHANGE: 19991203
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Brodsky Michael
CENTRAL INDEX KEY: 0001403388
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-29637
FILM NUMBER: 161873099
MAIL ADDRESS:
STREET 1: C/O NEW WORLD OPPORTUNITY PARTNERS I LLC
STREET 2: 1603 ORRINGTON AVE, STE 1600
CITY: EVANSTON
STATE: IL
ZIP: 60201
4
1
rdgdoc.xml
FORM 4
X0306
4
2016-08-28
0001090908
DETERMINE, INC.
DTRM
0001403388
Brodsky Michael
615 WEST CARMEL DR., SUITE 100
CARMEL
IN
46032
1
Common Stock
2016-08-28
4
A
0
50000
0
A
140514
D
Common Stock
2016-09-02
4
A
0
37800
0
A
178314
D
Common Stock
78343
I
By Vajra Fund I, L.P.
Stock Option (Right to buy)
1.80
2016-09-02
4
A
0
75600
0
A
2026-09-02
Common Stock
75600
230600
D
Stock Option (Right to buy)
1.80
2016-09-02
4
A
0
100000
0
A
2026-09-02
Common Stock
100000
330600
D
Warrant to Purchase Common Stock
N/A
39171
I
By Vajra Fund I, L.P.
Grant of Restricted Stock Units that are fully vested as of the date of grant pursuant to that certain Amendment to Offer Letter dated August 28, 2015 by and between Determine, Inc. and Michael Brodsky.
Grant of Restricted Stock Units that vest in equal monthly installments over a 12 month period pursuant to that certain Amendment to Offer Letter dated September 1, 2016 by and between Determine, Inc. and Michael Brodsky. The Restricted Stock Units will be subject to accelerated vesting in connection with a change in control of Determine, Inc.
Issued in the name of Vajra Fund I, L.P. The reporting person is the General Partner of Vajra Fund I, L.P.
Grant of stock options that vest in equal monthly installments over a 12 month period pursuant to that certain Amendment to Offer Letter dated September 1, 2016 by and between Determine, Inc. and Michael Brodsky. The options will be subject to accelerated vesting in connection with a change in control of Determine, Inc.
Grant of stock options, 50% of which vest after two years and the balance of which vest in equal monthly installments over a 24 month period thereafter pursuant to that certain Amendment to Offer Letter dated September 1, 2016 by and between Determine, Inc. and Michael Brodsky. The options will be subject to accelerated vesting in connection with a change in control of Determine, Inc.
N/A
/s/ David Richardson
2016-09-07