Home/Filings/4/0001136261-09-000053
4//SEC Filing

Allana Naj 4

Accession 0001136261-09-000053

CIK 0001285701other

Filed

Jan 28, 7:00 PM ET

Accepted

Jan 29, 8:45 PM ET

Size

12.2 KB

Accession

0001136261-09-000053

Insider Transaction Report

Form 4
Period: 2009-01-27
Allana Naj
Chief Financial Officer
Transactions
  • Award

    Common Stock

    2009-01-27+1,255,0681,255,068 total
  • Award

    Stock option (right to buy)

    2009-01-27+1,312,6921,312,692 total
    Exercise: $0.05From: 2009-01-27Exp: 2011-01-01Common Stock (1,312,692 underlying)
  • Award

    Stock option (right to buy)

    2009-01-27+328,173328,173 total
    Exercise: $0.05From: 2009-01-27Exp: 2009-08-01Common Stock (328,173 underlying)
  • Award

    Stock option (right to buy)

    2009-01-27+164,086164,086 total
    Exercise: $0.05From: 2009-01-27Exp: 2011-09-01Common Stock (164,086 underlying)
Footnotes (4)
  • [F1]Received in exchange for 382,440 shares of MyMedicalRecords, Inc. ("MMR") common stock in connection with the business combination of Favrille, Inc. and MMR in which a subsidiary of Favrille, Inc. merged with and into MMR (the "Merger").
  • [F2]Received in the Merger in exchange for stock options to acquire 100,000 shares of MMR common stock.
  • [F3]Received in the Merger in exchange for stock options to acquire 400,000 shares of MMR common stock.
  • [F4]Received in the Merger in exchange for stock options to acquire 50,000 shares of MMR common stock.

Issuer

FAVRILLE INC

CIK 0001285701

Entity typeother

Related Parties

1
  • filerCIK 0001451987

Filing Metadata

Form type
4
Filed
Jan 28, 7:00 PM ET
Accepted
Jan 29, 8:45 PM ET
Size
12.2 KB