Form Type: 4

SEC EDGAR Link
Accession Number:0001601045-16-000013
Date:2016-12-01
Issuer: QUOTIENT TECHNOLOGY INC. (QUOT)
Original Submission Date:

Reporting Person:

BOAL STEVEN R.
C/O QUOTIENT TECHNOLOGY INC.
400 LOGUE AVENUE MOUNTAIN VIEW, CA 94043

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
COMMON STOCK 2016-12-01 M 139,700 a $0.27 1,432,205 direct
COMMON STOCK 2016-12-01 S 139,700 d $12.00 1,292,505 direct
COMMON STOCK 2016-12-02 M 100,300 a $0.27 1,392,805 direct
COMMON STOCK 2016-12-02 S 100,300 d $11.32 1,292,505 direct
COMMON STOCK 2016-12-01 0 $0.00 3,954,976 indirect f3
COMMON STOCK 2016-12-01 0 $0.00 454,733 indirect f4
COMMON STOCK 2016-12-01 0 $0.00 454,733 indirect f5
COMMON STOCK 2016-12-01 0 $0.00 3,237 indirect f6
COMMON STOCK 2016-12-01 0 $0.00 3,237 indirect f7
COMMON STOCK 2016-12-01 0 $0.00 3,237 indirect f8
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
EMPLOYEE STOCK OPTION (RIGHT TO BUY) 0.2688 2016-12-01 deemed execution date M 139,700 (d) 2008-01-19 2017-01-19 common stock 139,700 $0.27 100,300 direct
EMPLOYEE STOCK OPTION (RIGHT TO BUY) 0.2688 2016-12-02 deemed execution date M 100,300 (d) 2008-01-19 2017-01-19 common stock 100,300 $0.27 0 direct
Footnotes
IDfootnote
f1 the price reported in column 4 is a weighted average price. these shares were sold in multiple transactions at prices ranging from $11.75 to $12.28, inclusive. the reporting person undertakes to provide quotient technology inc., any security holder of quotient technology inc. or the staff of the securities and exchange commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
f2 the price reported in column 4 is a weighted average price. these shares were sold in multiple transactions at prices ranging from $11.00 to $11.90, inclusive. the reporting person undertakes to provide quotient technology inc., any security holder of quotient technology inc. or the staff of the securities and exchange commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
f3 these shares are held directly by the smsej family trust u/a dated july 18, 2005 of which mr. boal is a co-trustee.
f4 these shares are held directly by steven r boal ttee of the steven r boal annuity trust dated december 6, 2013.
f5 these shares are held directly by steven r. boal ttee of the michelle l boal annuity trust dated december 6, 2013.
f6 these shares are held directly by stuart shiff ttee of the ebb 2011 trust dated september 23, 2011.
f7 these shares are held directly by stuart shiff ttee of the jmb 2011 trust dated september 23, 2011.
f8 these shares are held directly by stuart shiff ttee of the seb 2011 trust dated september 23, 2011.
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