SEC Form 4 · accession 0001140361-17-022136
Health Insurance Innovations, Inc. · HIIQ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert S Murley
Director
Period of report
May 18, 2017
Accepted (ET)
May 24, 2017 · 4:11 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 | May 18, 2017 | P | 7,000 | $20.11 | A | 34,895 | 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 | $7.97 | holding | — | — | — | Oct 28, 2015 | Oct 28, 2021 | Class A Common Stock | 20,000 | 20,000 | D |
Explanation of responses
- F1The price reported in Column 4 is a weighted average price. The shares were purchased in multiple transactions at prices ranging from $19.85 to $20.40, inclusive. The Reporting Person undertakes to provide Health Insurance Innovations Inc., any security holder of Health Insurance Innovations Inc., or the staff of the Securities & Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the range set forth herein.
- F2These stock-settled stock appreciation rights were previously granted under the Issuer's Long Term Incentive Plan and became fully vested on October 28, 2016, subject to the terms of the plan and an award agreement under the plan.