SEC Form 4/A · accession 0001140361-15-025376
Health Insurance Innovations, Inc. · HIIQ
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
Michael A. Petrizzo Jr.
Officer — Exec VP, Gen. Counsel & Secy
Period of report
Jun 19, 2015
Accepted (ET)
Jun 25, 2015 · 8:55 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001561387
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF2,F3 | Jun 19, 2015 | F | 5,918 | $4.79 | D | 37,602 | D | |
| Class A Common StockF2,F3 | Jun 19, 2015 | F | 4,439 | $4.79 | D | 33,163 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents withholding of shares by Issuer to satisfy tax liability of Reporting Person incident to vesting of restricted stock.
- F2This Form 4/A Amendment is being filed in order to correct the amount of securities reported in Column 4 of Table I which were inadvertently misstated in the original Form 4 filed on June 22, 2015.
- F3Includes shares of restricted stock granted pursuant to the Issuer's Long Term Incentive Plan which have fully vested pursuant to the terms of a separation agreement between the Reporting Person and the Issuer.