0001437749-17-002601.txt : 20170215 0001437749-17-002601.hdr.sgml : 20170215 20170215175433 ACCESSION NUMBER: 0001437749-17-002601 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170214 FILED AS OF DATE: 20170215 DATE AS OF CHANGE: 20170215 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GULLARD JAMES MICHAEL CENTRAL INDEX KEY: 0001156171 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29637 FILM NUMBER: 17615804 MAIL ADDRESS: STREET 1: 750 MENLO AVENUE, SUITE 350 CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 rdgdoc.xml FORM 4 X0306 4 2017-02-14 0001090908 DETERMINE, INC. DTRM 0001156171 GULLARD JAMES MICHAEL 615 WEST CARMEL DRIVE, SUITE 100 CARMEL IN 46032 1 Common Stock 2017-02-14 4 A 0 14881 0 A 57182 D Common Stock 10715 I The Gullard Family Trust Stock Option (right to buy) 2.59 2017-02-14 4 A 0 5000 0 A 2027-02-14 Common Stock 5000 15000 D Series B Warrant 7.7500 2013-03-12 2018-03-12 Common Stock 5357 5357 I The Gullard Family Trust Consists of Restricted Stock Units that vest on August 11, 2017. The reporting person is the Trustee of the Gullard Family Trust. Options vest in three equal installments on August 11, 2017, August 11, 2018 and August 11, 2019. The reporting person is the Trustee of The Gullard Family Trust. /s/ David Richardson, as attorney-in-fact 2017-02-15