0001209191-17-032576.txt : 20170516 0001209191-17-032576.hdr.sgml : 20170516 20170516143824 ACCESSION NUMBER: 0001209191-17-032576 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170512 FILED AS OF DATE: 20170516 DATE AS OF CHANGE: 20170516 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: Fuentes-Benejam Jorge L CENTRAL INDEX KEY: 0001433989 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33865 FILM NUMBER: 17848233 MAIL ADDRESS: STREET 1: PO BOX 363628 CITY: SAN JUAN STATE: PR ZIP: 00936-3628 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-05-12 0 0001171662 TRIPLE-S MANAGEMENT CORP GTS 0001433989 Fuentes-Benejam Jorge L PO BOX 363628 SAN JUAN PR 00936-3628 PUERTO RICO 1 0 0 0 Restricted Stock Units 2017-05-12 4 A 0 4819 0.00 A Class B Common Stock 4819 4819 D Each restricted stock unit represents a contingent right to receive one share of Triple-S Management Corporation Class B Common Stock. The restricted stock units vest on the date of the 2018 Annual Shareholders' Meeting. Vested shares will be delivered to the reporting person within thirty (30) days following the date of termination of the reporting person's services with Triple-S Management Corporation. /s/ Manuel Rodriguez-Boissen, Attorney-in-fact 2017-05-16