0001596771-18-000076.txt : 20180606 0001596771-18-000076.hdr.sgml : 20180606 20180606163831 ACCESSION NUMBER: 0001596771-18-000076 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180604 FILED AS OF DATE: 20180606 DATE AS OF CHANGE: 20180606 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRIFFIN BRIAN T CENTRAL INDEX KEY: 0001252006 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36677 FILM NUMBER: 18884184 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Diplomat Pharmacy, Inc. CENTRAL INDEX KEY: 0001610092 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DRUG STORES AND PROPRIETARY STORES [5912] IRS NUMBER: 382063100 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4100 S. SAGINAW ST. CITY: FLINT STATE: MI ZIP: 48507 BUSINESS PHONE: 888-720-4450 MAIL ADDRESS: STREET 1: 4100 S. SAGINAW ST. CITY: FLINT STATE: MI ZIP: 48507 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2018-06-04 0 0001610092 Diplomat Pharmacy, Inc. DPLO 0001252006 GRIFFIN BRIAN T 4100 S. SAGINAW ST. FLINT MI 48507 1 1 0 0 Chairman and CEO Common Stock 2018-06-04 4 A 0 33716 0 A 33716 D Common Stock 2018-06-04 4 A 0 124875 0 A 158591 D Employee Stock Option to Acquire Common Stock 24.29 2018-06-04 4 A 0 81351 0 A 2028-06-04 Common Stock 81351 81351 D The restricted stock units ("RSUs") represent an inducement award of stock to the reporting person in connection with his appointment as CEO and Chairman. One-third of the RSUs will vest on each of the first, second and third anniversary of the grant date. The RSUs will vest on the first anniversary of the grant date, provided the vesting of these RSUs may be accelerated based on the achievement of a specified stock price performance goal. Represents an inducement award of stock options to the reporting person in connection with his appointment as CEO and Chairman. One-third of the options will vest on each of the first, second and third anniversary of the grant date. /s/ Christina Flint, by Power of Attorney 2018-06-06