Filing Details

Accession Number:
0001569608-17-000009
Form Type:
4
Zero Holdings:
No
Publication Time:
2017-04-04 22:00:05
Reporting Period:
2017-03-29
Filing Date:
2017-04-04
Accepted Time:
2017-04-04 22:00:05
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 2017-03-31 10,000 $0.85 7,144,072 No 4 P Indirect General Partner
Ordinary Shares Acquisiton 2017-04-03 757,575 $0.66 7,901,647 No 4 P Indirect General Partner
Ordinary Shares Acquisiton 2017-04-04 1,091,442 $0.01 8,993,089 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
No 4 P Indirect General Partner
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Ordinary Shares Warrants (Right to Buy) Acquisiton 2017-03-29 735,294 $0.00 735,294 $0.01
Ordinary Shares, Nis 0.04 Par Value Warrants (Right to Buy) Disposition 2017-04-04 735,294 $0.01 735,294 $0.01
Ordinary Shares, Nis 0.04 Par Value Warrants (Right to Buy) Disposition 2017-04-04 356,148 $0.01 356,148 $0.01
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
735,294 2017-03-29 2020-03-28 No 4 J Indirect
0 2017-03-29 2020-03-28 No 4 X Indirect
0 2015-12-29 2018-12-29 No 4 X Indirect
Footnotes
  1. Acquired by Columbia Pacific Opportunity Fund, L.P.
  2. Columbia Pacific Opportunity Fund, L.P. owns 8,956,556 Ordinary SharesColumbia Pacific Partners Fund (Delaware), L.P. owns 36,533 Ordinary Shares
  3. These warrants were received by a Proxy Vote of the shareholders on March 29, 2017. Under Proxy Proposal No. 8, in exchange for extending an existing guaranty to the Credit Agreement between Modern Systems Corporation, a wholly owned subsidiary of the Issuer, and Comerica Bank during 2016, Columbia Pacific Opportunity Fund, L.P. received 367,647 warrants.Under Proxy Proposal No. 9, in exchange for extending the existing guaranty to the Credit Agreement mentioned above during calendar year 2017, Columbia Pacific Opportunity Fund, L.P. received 367,647 warrants.
  4. These warrants were issued in exchange for Columbia Pacific Opportunity Fund, L.P. and certain other shareholders providing a guaranty with respect to the Credit Agreement.
  5. Exercised by Columbia Pacific Opportunity Fund, L.P.
  6. 100,000 of these warrants expiration date was 12/31/2018
  7. Acquired by Columbia Pacific Opportunity Fund, L.P. on the exercise of warrants listed under Derivative Securities
  8. Acquired by Columbia Pacific Opportunity Fund, L.P. under Proxy Proposal No. 8 approved by the vote of the shareholders on March 29, 2017.