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