Filing Details

Accession Number:
0001569608-16-000033
Form Type:
4
Zero Holdings:
No
Publication Time:
2016-01-07 21:59:30
Reporting Period:
2015-12-29
Filing Date:
2016-01-07
Accepted Time:
2016-01-07 21:59:30
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1029581 Modsys International Ltd MDSY Services-Computer Programming Services (7371) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1569608 Columbia Pacific Advisors, Llc 1910 Fairview Ave E
Suite 200
Seattle WA 98102
No No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Ordinary Shares Acquisiton 2016-01-05 1,200 $2.25 5,179,807 No 4 P Indirect General Partner
Ordinary Shares Acquisiton 2016-01-06 100 $2.25 5,179,907 No 4 P Indirect General Partner
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect General Partner
No 4 P Indirect General Partner
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Ordinary Shares, Nis 0.04 Par Value Warrants (Right to Buy) Acquisiton 2015-12-29 256,148 $0.00 256,148 $0.01
Ordinary Shares, Nis 0.04 Par Value Warrants (Right to Buy) Acquisiton 2015-12-31 100,000 $1.33 100,000 $0.01
Ordinary Shares, Nis 0.04 Par Value Preferred Shares, NIS 0.04 par value Acquisiton 2015-12-31 200,000 $1.33 200,000 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
256,148 2015-12-29 2018-12-29 No 4 J Indirect
356,148 2015-12-31 2017-12-31 No 4 P Indirect
200,000 No 4 P Indirect
Footnotes
  1. Acquired by Columbia Pacific Opportunity Fund, L.P.
  2. Columbia Pacific Opportunity Fund, L.P. owns 5,141,967 Ordinary SharesColumbia Pacific Partners Fund, Ltd. owns 37,940 Ordinary Shares
  3. These warrants vested 50% on the date of grant (December 29, 2015) and will vest 50% on February 24, 2016. In the event that the Issuer has repaid in full the guaranteed amount owed pursuant to a credit agreement between Modern Systems Corporation and MS Modernization Services, Inc., a wholly owned subsidiary and a majority owned subsidiary of the Issuer, and Comerica Bank (the "Credit Agreement") to below $1,000,000 prior to February 24, 2016, the unvested portion of the warrants held by the Reporting Persons will be automatically cancelled.
  4. These warrants were issued in exchange for the Reporting Persons and certain other shareholders providing a guaranty with respect to the Credit Agreement.
  5. The convertible Preferred Shares is convertible into Ordinary Shares at any time on a one-for-one basis, and has no expiration date.