0001567619-20-005920.txt : 20200309 0001567619-20-005920.hdr.sgml : 20200309 20200309162055 ACCESSION NUMBER: 0001567619-20-005920 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200305 FILED AS OF DATE: 20200309 DATE AS OF CHANGE: 20200309 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BARKETT ANTHONY CENTRAL INDEX KEY: 0001572024 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35811 FILM NUMBER: 20698212 MAIL ADDRESS: STREET 1: 15438 N FLORIDA AVENUE STREET 2: SUITE 201 CITY: TAMPA STATE: FL ZIP: 33613 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Benefytt Technologies, Inc. CENTRAL INDEX KEY: 0001561387 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 461282634 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 15438 N. FLORIDA AVENUE STREET 2: SUITE 201 CITY: TAMPA STATE: FL ZIP: 33613 BUSINESS PHONE: 813-397-1187 MAIL ADDRESS: STREET 1: 15438 N. FLORIDA AVENUE STREET 2: SUITE 201 CITY: TAMPA STATE: FL ZIP: 33613 FORMER COMPANY: FORMER CONFORMED NAME: Health Insurance Innovations, Inc. DATE OF NAME CHANGE: 20121031 4 1 doc1.xml FORM 4 X0306 4 2020-03-05 0 0001561387 Benefytt Technologies, Inc. BFYT 0001572024 BARKETT ANTHONY 15438 NORTH FLORIDA AVENUE SUITE 201 TAMPA FL 33613 1 0 0 0 Class A Common Stock 2020-03-05 4 M 0 30000 13.97 A 104590 D Class A Common Stock 2020-03-05 4 D 0 15302 27.39 A 89288 D Stock Appreciation Rights 13.97 2020-03-05 4 M 0 30000 0 A 2020-03-08 Class A Common Stock 30000 0 D Represents the exercise of stock appreciation rights immediately prior to the expiration thereof. Shares retained by the issuer to satisfy the exercise price of stock appreciation rights. These stock-settled stock appreciation rights were granted under the Issuer's Long Term Incentive Plan and are exercisable in full. /s/ Curt P. Creely, Attorney-in-Fact for Anthony Barkett 2020-03-09