0001500814-17-000004.txt : 20170811
0001500814-17-000004.hdr.sgml : 20170811
20170811165943
ACCESSION NUMBER: 0001500814-17-000004
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170810
FILED AS OF DATE: 20170811
DATE AS OF CHANGE: 20170811
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Saban Joel
CENTRAL INDEX KEY: 0001500814
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36677
FILM NUMBER: 171025843
MAIL ADDRESS:
STREET 1: C/O DIPLOMAT PHARMACY, INC.
STREET 2: 4100 SOUTH SAGINAW STREET
CITY: FLINT
STATE: MI
ZIP: 48507
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
2017-08-10
0
0001610092
Diplomat Pharmacy, Inc.
DPLO
0001500814
Saban Joel
C/O DIPLOMAT PHARMACY, INC.
4100 SOUTH SAGINAW STREET
FLINT
MI
48507
0
1
0
0
President
Employee Stock Option to Acquire Common Stock
15.94
2017-08-10
4
A
0
200000
0
A
2027-08-10
Common Stock
200000
200000
D
The option will vest in annual increments of 25% of the option grant beginning on the one-year anniversary of the grant date.
Christina Flint, by Power of Attorney
2017-08-11