SEC Form 4 · accession 0001209191-16-111854
TRIPLE-S MANAGEMENT CORP · GTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Madeline Hernandez-Urquiza
Officer — President of TSS and TSAS
Period of report
Mar 28, 2016
Accepted (ET)
Apr 1, 2016 · 8:54 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 28, 2016 | A | 2,564 | $0.00 | A | 14,035 | 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 March 19, 2013. 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.
Remarks
Ms. Hernandez-Urquiza is President and CEO of Triple-S Salud, Inc. ("TSS") and Triple-S Advantage Solutions, Inc. ("TSAS")