0001209191-19-026785.txt : 20190501
0001209191-19-026785.hdr.sgml : 20190501
20190501165153
ACCESSION NUMBER: 0001209191-19-026785
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190429
FILED AS OF DATE: 20190501
DATE AS OF CHANGE: 20190501
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CHAFEY DAVID H JR
CENTRAL INDEX KEY: 0001217331
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33865
FILM NUMBER: 19788311
MAIL ADDRESS:
STREET 1: P O BOX 362708
CITY: SAN JUAN
STATE: PR
ZIP: 936-2708
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-04-29
0
0001171662
TRIPLE-S MANAGEMENT CORP
GTS
0001217331
CHAFEY DAVID H JR
P.O. BOX 363628
SAN JUAN
PR
00936-3628
PUERTO RICO
1
0
0
0
Restricted Stock Units
2019-04-29
4
A
0
4776
0.00
A
Class B Common Stock
4776
12596
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 2020 Annual Shareholders' Meeting. Vested shares will be delivered to the reporting person within thirty (30) days following the date of the termination of the reporting person's services with Triple-S Management Corporation.
/s/ Manuel Rodriguez-Boissen, Attorney-in-fact
2019-05-01