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