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