SEC Form 4 · accession 0001209191-19-017886
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 TSA
Period of report
Mar 5, 2019
Accepted (ET)
Mar 7, 2019 · 7:42 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 | Mar 5, 2019 | A | 8,776 | $0.00 | A | 63,967 | D | |
| Class B Common StockF2 | Mar 5, 2019 | A | 6,948 | $0.00 | A | 70,915 | D | |
| Class B Common StockF3 | Mar 5, 2019 | A | 2,865 | $0.00 | A | 73,780 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares acquired represent a grant of restricted stock that will vest in equal installments on each of March 5, 2020 and 2021 and March 7, 2022.
- F2Shares acquired represent a grant of restricted stock as a one-time Special Retention Award that will vest in equal installments on each of March 5, 2020 and 2021 and March 7, 2022.
- F3Shares acquired represent common stock earned pursuant to a grant of Performance Shares on May 10, 2016. 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 Inc. ("TSA").