SEC Form 4/A · accession 0001140361-15-033436
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 owners
Lori Kosloske
Director
Michael W Kosloske
Officer — Chairman, President and CEO · Director · 10% Owner
Health Plan Intermediaries Sub, LLC
10% Owner
Health Plan Intermediaires, LLC
10% Owner
Period of report
Aug 14, 2015
Accepted (ET)
Aug 25, 2015 · 5:26 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 |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF2,F3 | Aug 14, 2015 | P | 3,740 | $4.4277 | A | 3,740 | I | See Footnote |
| Class A Common StockF4,F3 | Aug 17, 2015 | P | 22,339 | $4.8191 | A | 26,079 | I | See Footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1This Amended Form 4 is being filed solely for the purpose of adding a footnote to this transaction to explain that the price is a weighted average price. This footnote was erroneously omitted on the Form 4 filed August 18, 2015.
- F2These shares were purchased at a range of prices from $4.40 to $4.49. The reporting person will provide upon request by the Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares purchased at each separate price.
- F3By Michael W. Kosloske 2012 Descendants Trust Agreement dated December 7, 2012, Lori Kosloske as Directing Trustee.
- F4These shares were purchased at a range of prices from $4.53 to $4.98. The reporting person will provide upon request by the Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares purchased at each separate price.