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