0001209191-21-044960.txt : 20210702 0001209191-21-044960.hdr.sgml : 20210702 20210702162309 ACCESSION NUMBER: 0001209191-21-044960 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210701 FILED AS OF DATE: 20210702 DATE AS OF CHANGE: 20210702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pelzer Francis J. CENTRAL INDEX KEY: 0001492125 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36061 FILM NUMBER: 211070433 MAIL ADDRESS: STREET 1: CONCUR TECHNOLOGIES, INC. STREET 2: 18400 NE UNION HILL RD. CITY: REDMOND STATE: WA ZIP: 98052 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Benefitfocus, Inc. CENTRAL INDEX KEY: 0001576169 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 462346314 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 BENEFITFOCUS WAY CITY: CHARLESTON STATE: SC ZIP: 29492 BUSINESS PHONE: 843-849-7476 MAIL ADDRESS: STREET 1: 100 BENEFITFOCUS WAY CITY: CHARLESTON STATE: SC ZIP: 29492 FORMER COMPANY: FORMER CONFORMED NAME: Benefitfocus,Inc. DATE OF NAME CHANGE: 20130507 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-07-01 0 0001576169 Benefitfocus, Inc. BNFT 0001492125 Pelzer Francis J. 100 BENEFITFOCUS WAY CHARLESTON SC 29492 1 0 0 0 Common Stock 2021-07-01 4 A 0 12778 0.00 A 46365 D Stock Option (Right to Buy) 13.53 2023-05-07 Common Stock 50000 50000 D Represents restricted stock units that vest on the earlier of July 1, 2022 or the date of the Issuer's 2022 annual meeting of stockholders, subject to the Reporting Person's continued service on the Issuer's Board of Directors. This option is fully vested. /s/ Donald R. Reynolds, Attorney-in-Fact 2021-07-02