SEC Form 4 · accession 0001144204-16-090927
MEDIFAST INC · MED
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mehrnaz Mona Ameli
Officer — President, Take Shape For Life
Period of report
Mar 25, 2016
Accepted (ET)
Mar 29, 2016 · 4:10 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000910329
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionF1 | $29.23 | Mar 25, 2016 | A | 2,000 | A | — | Mar 25, 2026 | Common Stock | 2,000 | 4,000 | D |
Explanation of responses
- F1These retention stock options, which were issued to the reporting person under the Amended and Restated 2012 Share Incentive Plan, will vest in three equal installments beginning on 2/4/2017.