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