SEC Form 4 · accession 0001596771-15-000081
Diplomat Pharmacy, Inc. · DPLO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Philip R Hagerman
Officer — Chairman and CEO · Director · 10% Owner
Period of report
Dec 7, 2015
Accepted (ET)
Dec 8, 2015 · 8:13 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001610092
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF2 | Dec 7, 2015 | S | 230,000 | $33.60 | D | 1,550,876 | I | 2013 Irrev Exempt Trust for Daughter |
| Common StockF2 | Dec 7, 2015 | S | 230,000 | $33.60 | D | 1,550,876 | I | 2013 Irrev Exempt Trust for Son |
| Common StockF1 | Dec 7, 2015 | S | 376,000 | $33.60 | D | 1,215,293 | I | 2013 Irrev Exempt Trust for Daughter |
| Common StockF1 | Dec 7, 2015 | S | 220,000 | $33.60 | D | 1,371,292 | I | 2013 Irrev Exempt Trust for Daughter |
| Common StockF2 | Dec 7, 2015 | S | 311,000 | $33.60 | D | 313,337 | I | 2014 Irrev Exempt Trust for Son |
| Common StockF2 | Dec 7, 2015 | S | 311,000 | $33.60 | D | 313,337 | I | 2014 Irrev Exempt Trust for Daughter |
| Common StockF1 | Dec 7, 2015 | S | 311,000 | $33.60 | D | 313,337 | I | 2014 Irrev Exempt Trust for Daughter |
| Common StockF1 | Dec 7, 2015 | S | 311,000 | $33.60 | D | 313,337 | I | 2014 Irrev Exempt Trust for Daughter |
| Common StockF1 | holding | — | — | — | 1,462,145 | I | Philip R. Hagerman Revocable Trust | |
| Common StockF2 | holding | — | — | — | 3,891,609 | I | 2007 Hagerman Family GST | |
| Common StockF1 | holding | — | — | — | 4,450,091 | I | The JH GST Trust | |
| Common StockF2 | holding | — | — | — | 1,073,336 | I | Philip Hagerman 2014 GRAT | |
| Common StockF1 | holding | — | — | — | 1,073,336 | I | Jocelyn Hagerman 2014 GRAT | |
| Common StockF2 | holding | — | — | — | 357,836 | I | Jocelyn Hagerman Living Trust | |
| Common StockF1 | holding | — | — | — | 263,500 | I | JH Marital Trust | |
| Common StockF2 | holding | — | — | — | 272,000 | I | PH Marital Trust | |
| Common Stock | holding | — | — | — | 394,910 | I | Irrev Trust for Son | |
| Common Stock | holding | — | — | — | 394,910 | I | Irrev Trust for Daughter |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These shares are indirectly owned by Mr. Hagerman as the trustee of the Philip R. Hagerman Revocable Trust, The JH GST Trust, the 2013 Irrevocable Exempt Trusts and 2014 Irrevocable Exempt Trusts for two daughters, the Jocelyn Hagerman 2014 GRAT and the JH Marital Trust.
- F2Jocelyn Hagerman is Mr. Hagerman's wife. These shares are indirectly owned by her as a trustee of the 2007 Hagerman Family GST Trust, the 2013 Irrevocable Exempt Trusts and 2014 Irrevocable Exempt Trusts for a son and daughter, the Philip Hagerman 2014 GRAT, the Jocelyn Hagerman Living Trust and the PH Marital Trust.