0001437749-17-003140.txt : 20170223
0001437749-17-003140.hdr.sgml : 20170223
20170223211629
ACCESSION NUMBER: 0001437749-17-003140
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170221
FILED AS OF DATE: 20170223
DATE AS OF CHANGE: 20170223
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: Brodsky Michael
CENTRAL INDEX KEY: 0001403388
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-29637
FILM NUMBER: 17634554
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
2017-02-21
0001090908
DETERMINE, INC.
DTRM
0001403388
Brodsky Michael
615 WEST CARMEL DR., SUITE 100
CARMEL
IN
46032
1
Common Stock
2017-02-21
4
P
0
7000
2.59520
A
106843
I
By Vajra Fund I, L.P.
Common Stock
178314
D
Issued in the name of Vajra Fund I, L.P. The reporting person is the General Partner of Vajra Fund I, L.P.
/s/ David Richardson, as attorney-in-fact
2017-02-23