0001140361-15-024291.txt : 20150615
0001140361-15-024291.hdr.sgml : 20150615
20150615161339
ACCESSION NUMBER: 0001140361-15-024291
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150611
FILED AS OF DATE: 20150615
DATE AS OF CHANGE: 20150615
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Health Insurance Innovations, 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: 15438 N. FLORIDA AVENUE
STREET 2: SUITE 201
CITY: TAMPA
STATE: FL
ZIP: 33613
BUSINESS PHONE: 813-280-1289
MAIL ADDRESS:
STREET 1: 15438 N. FLORIDA AVENUE
STREET 2: SUITE 201
CITY: TAMPA
STATE: FL
ZIP: 33613
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GABOS PAUL G
CENTRAL INDEX KEY: 0001216803
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35811
FILM NUMBER: 15931350
MAIL ADDRESS:
STREET 1: 19387 US 19 N
CITY: CLEARWATER
STATE: FL
ZIP: 33764
4
1
doc1.xml
FORM 4
X0306
4
2015-06-11
0
0001561387
Health Insurance Innovations, Inc.
HIIQ
0001216803
GABOS PAUL G
15438 NORTH FLORIDA AVENUIE
SUITE 201
TAMPA
FL
33613
1
0
0
0
Class A Common Stock
2015-06-11
4
P
0
3344
4.854
A
27398
D
Class A Common Stock
2015-06-12
4
P
0
6656
4.995
A
34054
D
Stock Appreciation Rights
11.73
2020-03-08
Class A Common Stock
20000
20000
D
The price reported in column 4 is a weighted average price. These securities were purchased in multiple transactions at prices ranging from $4.85 to $4.90, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of securities purchased at each separate price within the range set forth herein.
The price reported in column 4 is a weighted average price. These securities were purchased in multiple transactions at prices ranging from $4.90 to $5.03, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of securities purchased at each separate price within the range set forth herein.
Includes 9,054 restricted shares granted under the Issuer's Long Term Incentive Plan ("Plan") which are scheduled to vest 50% on May 19, 2016 and 50% on May 19, 2017, subject to the terms and conditions of the Plan and a Restricted Stock Award Agreement under the Plan.
These stock-settled stock appreciation rights were granted under the Issuer's Long Term Incentive Plan and became fully vested on May 1, 2015, subject to the terms of the Plan and an award agreement under the Plan.
/s/ Michael D. Hershberger, as Attorney-in-Fact, by POA
2015-06-15