0001209191-18-061409.txt : 20181206
0001209191-18-061409.hdr.sgml : 20181206
20181206201312
ACCESSION NUMBER: 0001209191-18-061409
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181203
FILED AS OF DATE: 20181206
DATE AS OF CHANGE: 20181206
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: 181222018
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
2018-12-03
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
2018-12-03
4
C
0
17739
0.00
A
187729
D
Class A Common Stock
2018-12-03
4
S
0
17739
27.85
D
169990
D
Class B Common Stock (Convertible into Class A Common Stock)
2018-12-03
4
C
0
17739
0.00
D
Class A Common Stock
17739
505905
D
Class B Common Stock (Convertible into Class A Common Stock)
Class A Common Stock
10150
10150
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 the Reporting Person.
Includes 146,644 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 $27.52 to
$28.15, 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 one 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 spouse as custodian for the benefit of her minor child.
/s/ Kimberly G. Lytikainen, Attorney-in-Fact
2018-12-06