0001222989-12-000002.txt : 20120517
0001222989-12-000002.hdr.sgml : 20120517
20120517162814
ACCESSION NUMBER: 0001222989-12-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120515
FILED AS OF DATE: 20120517
DATE AS OF CHANGE: 20120517
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ELLIE MAE INC
CENTRAL INDEX KEY: 0001122388
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4155 HOPYARD ROAD, SUITE 200
CITY: PLEASANTON
STATE: CA
ZIP: 94588
BUSINESS PHONE: 925-227-2082
MAIL ADDRESS:
STREET 1: 4155 HOPYARD ROAD, SUITE 200
CITY: PLEASANTON
STATE: CA
ZIP: 94588
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LEVIN ROBERT J
CENTRAL INDEX KEY: 0001222989
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35140
FILM NUMBER: 12852307
MAIL ADDRESS:
STREET 1: ELLIE MAE, INC.
STREET 2: 4155 HOPYARD ROAD, SUITE 200
CITY: PLEASANTON
STATE: CA
ZIP: 94588
4
1
edgardoc.xml
PRIMARY DOCUMENT
X0305
4
2012-05-15
0
0001122388
ELLIE MAE INC
ELLI
0001222989
LEVIN ROBERT J
C/O ELLIE MAE, INC.
4155 HOPYARD ROAD, SUITE 200
PLEASANTON
CA
94588
1
0
0
0
Non-Qualified Stock Option (right to buy)
15.34
2012-05-15
4
A
0
12000
A
2022-05-15
Common Stock
12000
12000
D
Option vests with respect to 1/12th of the shares on each monthly anniversary of the date of grant of option, such that the option will be fully vested and exercisable on May 15, 2013.
The reported transaction is a grant of a derivative security, in which we have left column 8 blank, and have reported the exercise or conversion price of the derivative security in column 2.
By: LeeAnn C. Linck, Attorney-in-fact For: Robert Levin
2012-05-17