SEC Form 5 · accession 0001140361-15-038020
Health Insurance Innovations, Inc. · HIIQ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Bruce Telkamp
Officer — CEO of HealthPocket, Inc.*
Period of report
Dec 31, 2014
Accepted (ET)
Oct 20, 2015 · 9:47 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 |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Dec 29, 2014 | G | 15,000 | $0.00 | D | 280,001 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1This Form 5 is being filed solely to report a donation to a 501(c)(3) public charity made in December 2014 for which a Form 4 or Form 5 was inadvertently not filed.
Remarks
* HealthPocket, Inc. is a subsidiary of Issuer.