0001567619-20-010131.txt : 20200514
0001567619-20-010131.hdr.sgml : 20200514
20200514163815
ACCESSION NUMBER: 0001567619-20-010131
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200512
FILED AS OF DATE: 20200514
DATE AS OF CHANGE: 20200514
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: AVERY PAUL E
CENTRAL INDEX KEY: 0001033291
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812]
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35811
FILM NUMBER: 20878412
MAIL ADDRESS:
STREET 1: 16205 CONSOLES DE AVILA
CITY: TAMPA
STATE: FL
ZIP: 33613
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Benefytt Technologies, Inc.
CENTRAL INDEX KEY: 0001561387
STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411]
IRS NUMBER: 461282634
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3450 BUSCHWOOD PARK DR.
STREET 2: SUITE 201
CITY: TAMPA
STATE: FL
ZIP: 33618
BUSINESS PHONE: (813) 397-1187
MAIL ADDRESS:
STREET 1: 3450 BUSCHWOOD PARK DR.
STREET 2: SUITE 201
CITY: TAMPA
STATE: FL
ZIP: 33618
FORMER COMPANY:
FORMER CONFORMED NAME: Health Insurance Innovations, Inc.
DATE OF NAME CHANGE: 20121031
4
1
doc1.xml
FORM 4
X0306
4
2020-05-12
0
0001561387
Benefytt Technologies, Inc.
BFYT
0001033291
AVERY PAUL E
16205 SONSOLES DE AVILA
TAMPA
FL
33613
1
0
0
0
Class A Common Stock
2020-05-12
4
A
0
3688
0
A
47788
D
These restricted shares were granted under the Issuer's Long Term Incentive Plan ("Plan") and are scheduled to vest 50% on May 12, 2021 and 50% on May 12, 2022, subject to the terms and conditions of the Plan and a Restricted Stock Award Agreement under the Plan.
/s/ Paul E. Avery
2020-05-14