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