SEC Form 4 · accession 0001140361-16-067627
Health Insurance Innovations, Inc. · HIIQ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Paul G Gabos
Director
Period of report
May 25, 2016
Accepted (ET)
May 27, 2016 · 5:11 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 StockF1,F2 | May 25, 2016 | A | 6,646 | $0.00 | A | 40,700 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation RightsF3 | $11.73 | holding | — | — | — | — | Mar 8, 2020 | Class A Common Stock | 20,000 | 20,000 | D |
Explanation of responses
- F1These restricted shares were granted under the Issuer's Long Term Incentive Plan ("Plan") and are scheduled to vest 50% on May 25, 2017 and 50% on May 25, 2018, subject to the terms and conditions of the Plan and a Restricted Stock Award Agreement under the Plan.
- F2Includes 9,054 restricted shares previously granted under the Plan which are scheduled to vest 50% on May 19, 2016 and 50% on May 19, 2017, subject to the terms and conditions of the Plan and a Restricted Stock Award Agreement under the Plan.
- F3These stock-settled stock appreciation rights were previously granted under the Issuer's Long Term Incentive Plan and became fully vested on May 1, 2015, subject to the terms of the Plan and an award agreement under the Plan.