0000899243-15-008120.txt : 20151113 0000899243-15-008120.hdr.sgml : 20151113 20151113160933 ACCESSION NUMBER: 0000899243-15-008120 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151112 FILED AS OF DATE: 20151113 DATE AS OF CHANGE: 20151113 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CONNECTURE INC CENTRAL INDEX KEY: 0001211759 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 18500 W. CORPORATE DRIVE STREET 2: SUITE 250 CITY: BROOKFIELD STATE: WI ZIP: 53045 BUSINESS PHONE: 262-432-8282 MAIL ADDRESS: STREET 1: 18500 W. CORPORATE DRIVE STREET 2: SUITE 250 CITY: BROOKFIELD STATE: WI ZIP: 53045 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Surges Jeff CENTRAL INDEX KEY: 0001422762 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36778 FILM NUMBER: 151229230 MAIL ADDRESS: STREET 1: 8700 BRYN MAWR AVENUE STREET 2: SUITE 700N CITY: CHICAGO STATE: IL ZIP: 60631 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-11-12 0 0001211759 CONNECTURE INC CNXR 0001422762 Surges Jeff 18500 W. CORPORATE DR., STE. 250 BROOKFIELD WI 53045 1 1 0 0 President Common Stock 2015-11-12 4 A 0 225000 0.00 A 225000 D Stock Options (right to buy) 3.93 2015-11-12 4 A 0 35000 0.00 A 2025-11-12 Common Stock 35000 100000 D Stock Options (right to buy) 3.93 2015-11-12 4 A 0 65000 0.00 A 2025-11-12 Common Stock 65000 100000 D This option will vest and become exercisable with respect to one-third (1/3) of the granted shares on November 12, 2016, and with respect to one thirty-sixth (1/36) of the granted shares on the first day of each calendar month thereafter. This option will vest and become exercisable in accordance with certain milestones based on the price per share of the Issuer's Common Stock on the Nasdaq Global Market, as agreed upon by the Reporting Person and the Issuer. Includes both options reported on this form. /s/ Scott Heinert for Jeff Surges 2015-11-13