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