0001437749-17-002728.txt : 20170216
0001437749-17-002728.hdr.sgml : 20170216
20170216202536
ACCESSION NUMBER: 0001437749-17-002728
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170214
FILED AS OF DATE: 20170216
DATE AS OF CHANGE: 20170216
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: Sems Lloyd
CENTRAL INDEX KEY: 0001436850
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-29637
FILM NUMBER: 17619545
MAIL ADDRESS:
STREET 1: C/O SEMS CAPITAL
STREET 2: 7 DEY STREET, SUITE 1101
CITY: NEW YORK
STATE: NY
ZIP: 10017
4
1
rdgdoc.xml
FORM 4
X0306
4
2017-02-14
0001090908
DETERMINE, INC.
DTRM
0001436850
Sems Lloyd
615 WEST CARMEL DR., SUITE 100
CARMEL
IN
46032
1
Common Stock
2017-02-14
4
A
0
14881
0
A
246761
D
Stock Option (right to buy)
2.59
2017-02-14
4
A
0
5000
0
A
2027-02-14
Common Stock
5000
18333
D
Series B Warrant
7.7500
2013-03-12
2018-03-12
Common Stock
15000
15000
D
Consists of Restricted Stock Units that vest on August 11, 2017.
Options vest in three equal installments on August 11, 2017, August 11, 2018 and August 11, 2019.
/s/ David Richardson, as attorney-in-fact
2017-02-16