SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Form 3 Holdings Reported.
  
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
LUCIA WILLIAM C

(Last) (First) (Middle)
5615 HIGH POINT DRIVE

(Street)
IRVING TX 75038

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
HMS HOLDINGS CORP [ HMSY ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President and CEO
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2014
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Stock 12/29/2009 G(1)5 18,694(2) D $0 118,374(3) D
Common Stock 12/29/2009 G(1)5 18,694(2) A $0 259,869(4) I By Lucia Family Trust
Common Stock 01/25/2010 G(1)5 8,000(2) D $0 118,374(3) D
Common Stock 01/25/2010 G(1)5 8,000(2) A $0 259,869(4) I By Lucia Family Trust
Common Stock 02/25/2010 G(1)5 4,000(2) D $0 118,374(3) D
Common Stock 02/25/2010 G(1)5 4,000(2) A $0 259,869(4) I By Lucia Family Trust
Common Stock 01/12/2011 G(1)5 14,000(2) D $0 118,374(3) D
Common Stock 01/12/2011 G(1)5 14,000(2) A $0 259,869(4) I By Lucia Family Trust
Common Stock 11/15/2012 G(1)5 33,337 D $0 118,374(3) D
Common Stock 11/15/2012 G(1)5 33,337 A $0 259,869(4) I By Lucia Family Trust
Common Stock 02/04/2013 G(1)5 49,122 D $0 118,374(3) D
Common Stock 02/04/2013 G(1)5 49,122 A $0 259,869(4) I By Lucia Family Trust
Common Stock 06/19/2013 G(1)5 21,324 D $0 118,374(3) D
Common Stock 06/19/2013 G(1)5 21,324 A $0 259,869(4) I By Lucia Family Trust
Common Stock 07/28/2014 G(1) 23,750 D $0 118,374(3) D
Common Stock 07/28/2014 G(1) 23,750 A $0 259,869(4) I By Lucia Family Trust
Common Stock 09/22/2014 G(1) 4,974 D $0 118,374(3) D
Common Stock 09/22/2014 G(1) 4,974 A $0 259,869(4) I By Lucia Family Trust
Common Stock 10/21/2014 G(1) 4,706 D $0 118,374(3) D
Common Stock 10/21/2014 G(1) 4,706 A $0 259,869(4) I By Lucia Family Trust
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. The reported transactions involved a gift of securities by the reporting person to The William C Lucia Family Trust, a revocable trust for which the reporting person is Trustee.
2. The reported transactions reflect the actual number of securities acquired or disposed on the date of the transaction and have not been adjusted to reflect the 3-for-1 stock split of the Issuer's common shares, effected in the form of a common stock dividend distributed on August 16, 2011, to shareholders of record at the close of business on July 22, 2011 (the "Stock Split").
3. The number of securities reported reflects the total number of shares directly owned on December 31, 2014, including shares received as a result of the Stock Split. It excludes 250,295 shares that were inadvertently previously reported as directly beneficially owned that are indirectly owned by The William C Lucia Family Trust. Taking into account shares owned both directly and indirectly by family trust, the reporting person beneficially owned an aggregate of 378,243 shares on December 31, 2014.
4. The number of securities reported reflects the total number of shares indirectly owned by The William C Lucia Family Trust on December 31, 2014, including shares received as a result of the Stock Split. It includes 250,295 shares that were inadvertently previously reported as directly beneficially owned. Taking into account shares owned both directly and indirectly by family trust, the reporting person beneficially owned an aggregate of 378,243 shares on December 31, 2014.
/s/ Eugene V. DeFelice, as attorney-in-fact for William C. Lucia 02/06/2015
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.