SEC Form 4 · accession 0001209191-15-028818
TRIPLE-S MANAGEMENT CORP · GTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Pablo Almodovar
Officer — President, Triple-S Salud, Inc
Period of report
Mar 21, 2015
Accepted (ET)
Mar 24, 2015 · 4:42 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001171662
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class B Common StockF1 | Mar 21, 2015 | A | 1,720 | $0.00 | A | 33,681 | D | |
| Class B Common StockF2 | Mar 21, 2015 | A | 1,929 | $0.00 | A | 35,610 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents common stock earned pursuant to a grant of Performance Shares on February 13, 2012. The Performance Shares resulting in the issuance of these shares of common stock did not constitute derivative securities. As a result, such Performance Shares were not required to be reported and were not reported on a Form 4 at the time of the award.
- F2Represents common stock earned pursuant to a grant of Performance Shares on November 15, 2012. The Performance Shares resulting in the issuance of these shares of common stock did not constitute derivative securities. As a result, such Performance Shares were not required to be reported and were not reported on a Form 4 at the time of the award.