SEC Form 4/A · accession 0001209191-19-017881
TRIPLE-S MANAGEMENT CORP · GTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Mojica Jose del Amo
Officer — President, TSP and TIA
Period of report
Mar 6, 2018
Accepted (ET)
Mar 7, 2019 · 7:35 pm EST
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,F2 | Mar 6, 2018 | A | 2,899 | $0.00 | A | 10,742 | D | |
| Class B Common StockF3,F4 | Mar 6, 2018 | A | 2,247 | $0.00 | A | 12,989 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares acquired represent grant of restricted stock that will vest in equal installments on each of March 6, 2019, 2020 and 2021.
- F2On March 15, 2018, the reporting person mistakenly filed a Form 4/A reporting that he owned 10,472 shares of Class B Common Stock following the reported transaction when in fact he owned the number of shares specified in this form.
- F3Shares acquired represent common stock earned pursuant to a grant of Performance Shares on March 3, 2015. 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.
- F4On March 15, 2018, the reporting person mistakenly filed a Form 4/A reporting that he owned 12,719 shares of Class B Common Stock following the reported transaction when in fact he owned the number of shares specified in this form.
Remarks
Mr. del Amo-Mojica is President of Triple-S Propiedad, Inc. ("TSP") and Triple-S Insurance Agency, Inc. ("TIA").