SEC Form 4 · accession 0001140361-15-033252
Health Insurance Innovations, Inc. · HIIQ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Patrick McNamee
Officer — President
Period of report
Aug 20, 2015
Accepted (ET)
Aug 24, 2015 · 4:49 pm 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 |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Aug 20, 2015 | P | 25,000 | $4.5624 | A | 25,000 | I | As Trustee - Patrick R. McNamee Trust U/A Dated 2/13/09 |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation RightsF2 | $4.72 | holding | — | — | — | — | Jun 8, 2022 | Class A Common Stock | 300,000 | 300,000 | D |
Explanation of responses
- F1The price in Column 4 is a weighted average price. The prices actually paid ranged from $4.46 to $4.62. The reporting person has provided to the issuer, and will provide to any security holder of the issuer, or the SEC staff, upon request, information regarding the number of shares sold at each price within the range for all transactions reported in this Form 4 utilizing an average weighted price.
- F2These stock-settled stock appreciation rights were granted under the Issuer's Long-Term Incentive Plan ("Plan") and are scheduled to vest in increments as follows: 25% on June 8, 2016; 25% on June 8, 2017; and 50% on June 8, 2018, subject to the terms of the Plan and an award agreement under the Plan.