SEC Form 4 · accession 0001144204-15-055474
MEDIFAST INC · MED
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jorgene K. Hartwig
Director
Period of report
Sep 15, 2015
Accepted (ET)
Sep 17, 2015 · 4:18 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000910329
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Sep 15, 2015 | A | 625 | $0.00 | A | 625 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionF2 | $28.59 | Sep 15, 2015 | A | 2,500 | A | — | Feb 17, 2025 | Common Stock | 2,500 | 2,500 | D |
Explanation of responses
- F1These shares were issued to the reporting person under the 2012 Share Incentive Plan and will vest on 1/1/2017.
- F2These retention stock options, which were issued to the reporting person under the 2012 Share Incentive Plan, will vest in three equal annual installments beginning on 2/17/2016.