SEC Form 4 · accession 0001209191-15-070134
Benefitfocus,Inc. · BNFT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mason R Holland Jr.
Officer — Executive Chairman of the Bd. · Director · 10% Owner
Period of report
Sep 8, 2015
Accepted (ET)
Sep 10, 2015 · 4:37 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001576169
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Sep 8, 2015 | G | 166,041 | $0.00 | D | 13,190 | D | |
| Common StockF1 | Sep 8, 2015 | G | 166,041 | $0.00 | A | 2,617,962 | I | By Holland Family Trust |
| Common Stock | holding | — | — | — | 5 | I | As custodian for minor son |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F2 | $7.09 | holding | — | — | — | — | Feb 20, 2017 | Common Stock | 257,688 | 257,688 | D |
Explanation of responses
- F1These shares are held in a living trust for the benefit of the reporting person and his spouse. The reporting person shares voting and investment control over these shares.
- F2This option is fully vested.