4//SEC Filing
Health Insurance Innovations, Inc. 4
Accession 0001140361-16-057309
CIK 0001561387operating
Filed
Mar 9, 7:00 PM ET
Accepted
Mar 10, 4:25 PM ET
Size
12.8 KB
Accession
0001140361-16-057309
Insider Transaction Report
Form 4
Kosloske Lori
Chief Compliance OfficerOther
Transactions
- Tax Payment
Class A Common Stock
2016-03-08$6.16/sh−533$3,283→ 7,203 total(indirect: See Footnote)
Holdings
- 26,079(indirect: See Footnote)
Class A Common Stock
- 100
Class A Common Stock
- 6,841,667(indirect: See Footnote)
Class A Common Stock
Transactions
- Tax Payment
Class A Common Stock
2016-03-08$6.16/sh−533$3,283→ 7,203 total(indirect: See Footnote)
Holdings
- 100
Class A Common Stock
- 26,079(indirect: See Footnote)
Class A Common Stock
- 6,841,667(indirect: See Footnote)
Class A Common Stock
Kosloske Michael W
DirectorChief Executive Officer10% Owner
Transactions
- Tax Payment
Class A Common Stock
2016-03-08$6.16/sh−533$3,283→ 7,203 total(indirect: See Footnote)
Holdings
- 26,079(indirect: See Footnote)
Class A Common Stock
- 100
Class A Common Stock
- 6,841,667(indirect: See Footnote)
Class A Common Stock
Transactions
- Tax Payment
Class A Common Stock
2016-03-08$6.16/sh−533$3,283→ 7,203 total(indirect: See Footnote)
Holdings
- 100
Class A Common Stock
- 26,079(indirect: See Footnote)
Class A Common Stock
- 6,841,667(indirect: See Footnote)
Class A Common Stock
Footnotes (4)
- [F1]Represents withholding of shares by Issuer to satisfy tax liability incident to vesting of restricted stock.
- [F2]By Lori Kosloske. Michael Kosloske and Lori Kosloske are husband and wife.
- [F3]By Michael W. Kosloske 2012 Descendants Trust Agreement dated December 7, 2012, Lori Kosloske as Directing Trustee.
- [F4]This number of shares consists of 6,772,451 shares of Class B Common Stock held of record by Health Plan Intermediaries, LLC ("HPI") and 69,216 shares of Class B Common Stock held by Health Plan Intermediaries Sub, LLC ("HPIS"). Michael Kosloske is the sole member and primary manager of HPI, and has sole voting and dispositive power over the shares held by HPI. HPI is the sole managing member of HPIS and has sole voting and dispositive power over the shares held by HPIS. Mr. Kosloske, by virtue of his control of HPI and HPI's control of HPIS, may be deemed to beneficially own all the shares of Class B Common Stock held of record by each of HPI and HPIS. The shares of Class B Common Stock, together with the Series B Membership Interests of HPI, are exchangeable, at Mr. Kosloske's election, for equal numbers of shares of Class A Common Stock. This exchange right has no expiration date.
Documents
Issuer
Health Insurance Innovations, Inc.
CIK 0001561387
Entity typeoperating
IncorporatedDE
Related Parties
1- filerCIK 0001561387
Filing Metadata
- Form type
- 4
- Filed
- Mar 9, 7:00 PM ET
- Accepted
- Mar 10, 4:25 PM ET
- Size
- 12.8 KB