SEC Form 4 · accession 0001144204-16-079639
MEDIFAST INC · MED
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Charles P Connolly
Director
Period of report
Feb 4, 2016
Accepted (ET)
Feb 8, 2016 · 5:57 pm EST
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 | Feb 4, 2016 | A | 1,250 | $0.00 | A | 47,280 | 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 | $27.68 | Feb 4, 2016 | A | 5,000 | A | — | Feb 4, 2026 | Common Stock | 5,000 | 15,000 | D |
Explanation of responses
- F1These shares were issued to the reporting person under the 2012 Share Incentive Plan and will vest on 1/1/2018.
- F2These retention stock options, which were issued to the reporting person under the 2012 Share Incentive Plan, will vest in three equal installments beginning on 2/4/2017.