Health Plan Intermediaries Sub, LLC 4
4 · Health Insurance Innovations, Inc. · Filed Jan 23, 2020
Insider Transaction Report
Form 4
Kosloske Michael W
DirectorChief Executive Officer10% Owner
Transactions
- Other
Class A Common Stock
2020-01-22+900,000→ 900,000 total(indirect: See Footnote) - Other
Class B Common Stock
2020-01-22−900,000→ 1,016,667 total(indirect: See Footnote)
Holdings
- 5,643(indirect: See Footnote)
Class A Common Stock
Footnotes (5)
- [F1]Reflects the exchange of shares of Class B Common Stock, together with an equal number of Series B Membership Interests of HPIH, into shares of Class A Common Stock pursuant to the Exchange Agreement, dated February 13, 2013, between the reporting persons and issuer.
- [F2]This number of shares consists of shares of Class A Common Stock held of record by HPI and HPIS. HPIS owns 9,000 of such shares and the remainder are held by HPI. 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 A Common Stock held of record by each of HPI and HPIS.
- [F3]Each share of Class B Common Stock held by the reporting persons, together with one Series B Membership Interest held by the reporting persons in Health Plan Intermediaries Holdings, LLC ("HPIH"), are together exchangeable, at any time, at the reporting persons' election, for one share of Class A Common Stock. This exchange right has no expiration date.
- [F4]This number of shares consists of 1,005,701 shares of Class B Common Stock held of record by HPI and 10,966 shares of Class B Common Stock held by 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.
- [F5]By Lori Kosloske. Michael Kosloske and Lori Kosloske are husband and wife.