0001209191-17-059009.txt : 20171102 0001209191-17-059009.hdr.sgml : 20171102 20171102195001 ACCESSION NUMBER: 0001209191-17-059009 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171101 FILED AS OF DATE: 20171102 DATE AS OF CHANGE: 20171102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Stollmeyer Richard Lee CENTRAL INDEX KEY: 0001644616 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37453 FILM NUMBER: 171174288 MAIL ADDRESS: STREET 1: 222 ALMOND STREET CITY: SAN LUIS OBISPO STATE: CA ZIP: 93405 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-11-01 0 0001458962 MINDBODY, Inc. MB 0001644616 Stollmeyer Richard Lee 4051 BROAD STREET SUITE 220 SAN LUIS OBISPO CA 93401 1 1 0 0 CEO Class A Common Stock 2017-11-01 4 C 0 13539 0.00 A 115516 D Class A Common Stock 2017-11-01 4 S 0 13539 30.983 D 101977 D Class A Common Stock 2017-11-01 4 C 0 4200 0.00 A 106177 D Class A Common Stock 2017-11-01 4 S 0 4200 31.7438 D 101977 D Class B Common Stock (convertible into Class A Common Stock) 2017-11-01 4 C 0 17739 0.00 D Class A Common Stock 17739 757542 D Class B Common Stock (convertible into Class A Common Stock) Class A Common Stock 23750 23750 I See Footnote Class B Common Stock (convertible into Class A Common Stock) Class A Common Stock 1250 1250 I See Footnote Class B Common Stock (convertible into Class A Common Stock) Class A Common Stock 1250 1250 I See Footnote Each share of Class A Common Stock was issued upon the conversion of one share of Class B common stock at the election of Reporting Person. Includes 95,240 restricted stock units ("RSUs"). Each RSU represents a contingent right to receive one share of the Issuer's Class A common stock upon settlement. The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $30.5375 to $31.525, inclusive. Upon request by the Commission staff, the Issuer, or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in the Form 4. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $31.55 to $32.35, inclusive. Upon request by the Commission staff, the Issuer, or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in the Form 4. Each share of Class B Common Stock is convertible into on share of Class A Common Stock at the option of the holder and has no expiration date. The shares are held of record by the Reporting Person's spouse. The shares are held of record by the Reporting Person's child. The shares are held of record by the Reporting Person's spouse as custodian for the benefit of her minor child. /s/ Kimberly G. Lytikainen, Attorney-in-Fact 2017-11-02