0001209191-17-040568.txt : 20170616 0001209191-17-040568.hdr.sgml : 20170616 20170616164934 ACCESSION NUMBER: 0001209191-17-040568 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170614 FILED AS OF DATE: 20170616 DATE AS OF CHANGE: 20170616 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MINDBODY, Inc. CENTRAL INDEX KEY: 0001458962 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 201898451 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4051 BROAD STREET STREET 2: SUITE 220 CITY: SAN LUIS OBISPO STATE: CA ZIP: 93401 BUSINESS PHONE: 877-755-4279 MAIL ADDRESS: STREET 1: 4051 BROAD STREET STREET 2: SUITE 220 CITY: SAN LUIS OBISPO STATE: CA ZIP: 93401 FORMER COMPANY: FORMER CONFORMED NAME: Mindbody, Inc. DATE OF NAME CHANGE: 20110627 FORMER COMPANY: FORMER CONFORMED NAME: MINDBODY, Inc. DATE OF NAME CHANGE: 20090319 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miller Adam L CENTRAL INDEX KEY: 0001513581 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37453 FILM NUMBER: 17916694 MAIL ADDRESS: STREET 1: C/O CORNERSTONE ONDEMAND, INC. STREET 2: 1601 CLOVERFIELD BLVD., SUITE 620 SOUTH CITY: SANTA MONICA STATE: CA ZIP: 90404 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-06-14 0 0001458962 MINDBODY, Inc. MB 0001513581 Miller Adam L 4051 BROAD ST SUITE 220 SAN LUIS OBISPO CA 93401 1 0 0 0 Class A Common Stock 2017-06-14 4 A 0 2772 0.00 A 16999 D Represents an automatic annual restricted stock unit (RSU) award pursuant to the Issuer's Outside Director Compensation Policy. Each RSU represents a contingent right to receive one share of the Issuer's Class A common stock upon settlement. 100% of the RSUs will vest on the earlier of (i) the day prior to the next annual meeting of stockholders of the Issuer or (ii) June 14, 2018, in each case subject to the Reporting Person continuing to be a Service Provider (as defined in the Issuer's 2015 Equity Incentive Plan) through the applicable vesting date. Includes 16,999 RSUs, where each RSU represents a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement. /s/ Kimberly G. Lytikainen, Attorney-in-Fact 2017-06-16