Filing Details
- Accession Number:
- 0001140361-17-019771
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2017-05-11 16:27:01
- Reporting Period:
- 2017-05-09
- Filing Date:
- 2017-05-11
- Accepted Time:
- 2017-05-11 16:27:01
- SEC Url:
- Form 4 Filing
Issuer
| Cik | Name | Symbol | Sector (SIC) | IRS No |
|---|---|---|---|---|
| 1561387 | Health Insurance Innovations Inc. | HIIQ | () | 4 |
Insiders
| Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
|---|---|---|---|---|---|---|---|
| 1366007 | Bruce Telkamp | C/O Health Insurance Innovations, Inc. 15438 N. Florida Ave., Suite 201 Tampa FL 33613 | Ceo Of Healthpocket, Inc.* | Yes | Yes | No | No |
Reported Non-Derivative Transactions
| Sec. Name | Acquisiton - Disposition | Date | Amount | Price | Remaning Holdings | Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|---|---|---|---|---|---|
| Class A Common Stock | Acquisiton | 2017-05-09 | 15,000 | $6.77 | 116,501 | No | 4 | M | Direct | |
| Class A Common Stock | Disposition | 2017-05-09 | 5,040 | $17.06 | 111,461 | No | 4 | D | Direct | |
| Class A Common Stock | Disposition | 2017-05-09 | 9,960 | $19.97 | 101,501 | No | 4 | S | Direct | |
| Class A Common Stock | Acquisiton | 2017-05-09 | 14,000 | $6.77 | 115,501 | No | 4 | M | Direct | |
| Class A Common Stock | Disposition | 2017-05-09 | 4,681 | $17.50 | 110,820 | No | 4 | D | Direct | |
| Class A Common Stock | Disposition | 2017-05-09 | 9,319 | $20.33 | 101,501 | No | 4 | S | Direct | |
| Class A Common Stock | Acquisiton | 2017-05-10 | 7,290 | $6.77 | 108,791 | No | 4 | M | Direct | |
| Class A Common Stock | Disposition | 2017-05-10 | 2,390 | $18.30 | 106,401 | No | 4 | D | Direct | |
| Class A Common Stock | Disposition | 2017-05-10 | 4,900 | $20.65 | 101,501 | No | 4 | S | Direct |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | M | Direct | |
| No | 4 | D | Direct | |
| No | 4 | S | Direct | |
| No | 4 | M | Direct | |
| No | 4 | D | Direct | |
| No | 4 | S | Direct | |
| No | 4 | M | Direct | |
| No | 4 | D | Direct | |
| No | 4 | S | Direct |
Reported Derivative Transactions
| Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
|---|---|---|---|---|---|---|---|
| Class A Common Stock | Stock Appreciation Rights | Disposition | 2017-05-09 | 15,000 | $0.00 | 15,000 | $6.77 |
| Class A Common Stock | Stock Appreciation Rights | Disposition | 2017-05-09 | 14,000 | $0.00 | 14,000 | $6.77 |
| Class A Common Stock | Stock Appreciation Rights | Disposition | 2017-05-10 | 7,290 | $0.00 | 7,290 | $6.77 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 69,000 | 2021-05-25 | No | 4 | M | Direct | |
| 55,000 | 2021-05-25 | No | 4 | M | Direct | |
| 47,710 | 2021-05-25 | No | 4 | M | Direct |
Reported Derivative Holdings
| Sec. Name | Sec. Type | Price | Date | Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|---|---|---|---|
| Class A Common Stock | Stock Appreciation Rights | $12.13 | 2021-07-14 | 6,000 | 6,000 | Direct | |
| Class A Common Stock | Stock Appreciation Rights | $4.95 | 2022-07-01 | 30,000 | 30,000 | Direct |
| Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|
| 2021-07-14 | 6,000 | 6,000 | Direct |
| 2022-07-01 | 30,000 | 30,000 | Direct |
Footnotes
- Shares retained by the issuer to satisfy the exercise price of stock appreciation rights exercised by the reporting person.
- The price in Column 4 is a weighted average price. The prices actually received ranged from $19.60 to $20.35. The reporting person has provided to the issuer, and will provide to any security holder of the issuer, or the SEC staff, upon request, information regarding the number of shares sold at each price within the range for all transactions reported in this Form 4 utilizing a weighted average price.
- The price in Column 4 is a weighted average price. The prices actually received ranged from $20.25 to $20.50. The reporting person has provided to the issuer, and will provide to any security holder of the issuer, or the SEC staff, upon request, information regarding the number of shares sold at each price within the range for all transactions reported in this Form 4 utilizing a weighted average price.
- The price in Column 4 is a weighted average price. The prices actually received ranged from $20.65 to $20.675. The reporting person has provided to the issuer, and will provide to any security holder of the issuer, or the SEC staff, upon request, information regarding the number of shares sold at each price within the range for all transactions reported in this Form 4 utilizing a weighted average price.
- These stock-settled stock appreciation rights were granted under the Issuer's Long-Term Incentive Plan (the "Plan") and became vested as follows: (i) 42,000 on the first date on which the average trading price of the Company's Class A common stock was at or above $12.00 per share for the preceding 30 consecutive trading days, and (ii) 42,000 on the first date on which the average trading price of the Company's Class A common stock was at or above $16.00 per share for the preceding 30 consecutive trading days, all subject to the terms of the Plan and an award agreement under the Plan.
- These stock-settled stock appreciation rights were previously granted under the Plan and are scheduled to vest in increments of 20%, 20%, 20%, and 40% on successive anniversary dates of the grant, subject to the terms of the Plan and an award agreement under the Plan.
- These stock-settled stock appreciation rights were previously granted under the Plan and are scheduled to vest in increments of 25%, 25%, and 50% on successive anniversary dates of the grant, subject to the terms of the Plan and an award agreement under the Plan.
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