0001209191-15-028829.txt : 20150324 0001209191-15-028829.hdr.sgml : 20150324 20150324164841 ACCESSION NUMBER: 0001209191-15-028829 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150321 FILED AS OF DATE: 20150324 DATE AS OF CHANGE: 20150324 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TRIPLE-S MANAGEMENT CORP CENTRAL INDEX KEY: 0001171662 STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321] IRS NUMBER: 660555678 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1441 F.D. ROOSEVELT AVE. CITY: SAN JUAN STATE: PR ZIP: 00920 BUSINESS PHONE: 7877494949 MAIL ADDRESS: STREET 1: 1441 F.D. ROOSEVELT AVE. CITY: SAN JUAN STATE: PR ZIP: 00920 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Diaz Juan J. CENTRAL INDEX KEY: 0001559705 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33865 FILM NUMBER: 15722244 MAIL ADDRESS: STREET 1: 1441 AVE. F.D. ROOSEVELT, 6TH FLOOR STREET 2: P.O. BOX 363628 CITY: SAN JUAN STATE: PR ZIP: 00936-3628 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-03-21 0 0001171662 TRIPLE-S MANAGEMENT CORP GTS 0001559705 Diaz Juan J. 1441 AVE. F.D. ROOSEVELT, 6TH FLOOR P.O. BOX 363628 SAN JUAN PR 00936-3628 PUERTO RICO 0 1 0 0 Chief Information Officer Class B Common Stock 2015-03-21 4 A 0 478 0.00 A 4824 D Class B Common Stock 2015-03-21 4 A 0 169 0.00 A 4993 D Represents common stock earned pursuant to a grant of Performance Shares on February 13, 2012. The Performance Shares resulting in the issuance of these shares of common stock did not constitute derivative securities. As a result, such Performance Shares were not required to be reported and were not reported on a Form 4 at the time of the award. Represents common stock earned pursuant to a grant of Performance Shares on November 15, 2012. The Performance Shares resulting in the issuance of these shares of common stock did not constitute derivative securities. As a result, such Performance Shares were not required to be reported and were not reported on a Form 4 at the time of the award. /s/ Manuel Rodriguez-Boissen, Attorney-in-fact 2015-03-24