SEC Form 4 · accession 0001628280-17-012470
TIPTREE INC. · TIPT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael Gene Barnes
Officer — Executive Chairman · Director · 10% Owner
Period of report
Dec 18, 2017
Accepted (ET)
Dec 20, 2017 · 4:36 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001393726
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Tiptree Financial Partners, L.P. partnership unitF2,F1 | — | Dec 18, 2017 | J | 880,003 | A | Jul 1, 2014 | — | Class A Common Stock | 2,462,248 | 2,462,248 | D |
| Tiptree Financial Partners, L.P. partnership unit warrantF2 | $7.59 | Dec 18, 2017 | J | 319,375 | A | Jul 1, 2014 | Jun 30, 2022 | Class A Common Stock | 893,612 | 893,612 | D |
Explanation of responses
- F1From and after July 1, 2014, the limited partners of Tiptree Financial Partners, L.P. ("TFP") have the ability to exchange TFP partnership units for Tiptree Class A common stock at a rate of 2.798 shares of Class A common stock per partnership unit.
- F2The Reporting Person was a member of TFPLP Holdings I LLC and received securities upon the distribution of all of TFPLP Holdings I LLC's assets to its members.