0001209191-21-044954.txt : 20210702 0001209191-21-044954.hdr.sgml : 20210702 20210702162018 ACCESSION NUMBER: 0001209191-21-044954 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: DENNERLINE DOUGLAS CENTRAL INDEX KEY: 0001505333 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36061 FILM NUMBER: 211070369 MAIL ADDRESS: STREET 1: C/O SUCCESSFACTORS, INC. STREET 2: 1500 FASHION ISLAND BLVD., SUITE 300 CITY: SAN MATEO STATE: CA ZIP: 94404 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 0001505333 DENNERLINE DOUGLAS 100 BENEFITFOCUS WAY CHARLESTON SC 29492 1 0 0 0 Common Stock 2021-07-01 4 A 0 12778 0.00 A 49705 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. /s/ Donald R. Reynolds, Attorney-in-Fact 2021-07-02