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