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