4//SEC Filing
Hershberger Michael D 4
Accession 0001567619-19-021560
CIK 0001561387other
Filed
Nov 13, 7:00 PM ET
Accepted
Nov 14, 4:11 PM ET
Size
10.3 KB
Accession
0001567619-19-021560
Insider Transaction Report
Form 4
Hershberger Michael D
Chief Financial Officer
Transactions
- Disposition to Issuer
Class A Common Stock
2019-11-12−16,500→ 39,198 total
Holdings
- 15,000
Stock Appr;eciation Rights
Exercise: $4.95Exp: 2022-07-01→ Common Stock (15,000 underlying) - 22,500
Stock Appreciation Rights
Exercise: $4.99Exp: 2022-09-16→ Common Stock (22,500 underlying) - 40,972
Stock Appreciation Rights
Exercise: $5.20Exp: 2023-09-16→ Common Stock (40,972 underlying) - 10,000
Stock Appreciation Rights
Exercise: $10.45Exp: 2021-05-21→ Common Stock (10,000 underlying)
Footnotes (5)
- [F1]Represents forfeiture of restricted shares pursuant to Separation Agreement.
- [F2]These stock-settled stock appreciation rights were granted on May 21, 2014 under the Long Term Incentive Plan of Health Insurance Innovations, Inc. (the "Plan") and are all vested.
- [F3]These stock-settled stock appreciation rights were granted on July 1, 2015 under the Plan and are all vested.
- [F4]These stock-settled stock appreciation rights were granted on September 16, 2015 under the Plan and are all vested.
- [F5]These stock-settled stock appreciation rights were granted on September 16, 2016 under the Plan and are all vested.
Documents
Issuer
Health Insurance Innovations, Inc.
CIK 0001561387
Entity typeother
Related Parties
1- filerCIK 0001569128
Filing Metadata
- Form type
- 4
- Filed
- Nov 13, 7:00 PM ET
- Accepted
- Nov 14, 4:11 PM ET
- Size
- 10.3 KB