SEC Form 4 · accession 0001140361-17-021747
Health Insurance Innovations, Inc. · HIIQ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Paul E Avery
Director
Period of report
May 18, 2017
Accepted (ET)
May 22, 2017 · 4:47 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 | May 18, 2017 | A | 2,195 | $0.00 | A | 22,915 | 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 RightsF2 | $13.97 | holding | — | — | — | — | Mar 8, 2020 | Class A Common Stock | 30,000 | 30,000 | 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 18, 2018 and 50% on May 18, 2019, subject to the terms and conditions of the Plan and a Restricted Stock Award Agreement under the Plan.
- F2These 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.