0001209191-20-023254.txt : 20200403 0001209191-20-023254.hdr.sgml : 20200403 20200403170313 ACCESSION NUMBER: 0001209191-20-023254 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200401 FILED AS OF DATE: 20200403 DATE AS OF CHANGE: 20200403 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: August Raymond Alexander CENTRAL INDEX KEY: 0001616278 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36061 FILM NUMBER: 20774383 MAIL ADDRESS: STREET 1: C/O BENEFITFOCUS, INC. STREET 2: 100 BENEFITFOCUS WAY CITY: CHARLESTON STATE: SC ZIP: 29492 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-04-01 0 0001576169 Benefitfocus,Inc. BNFT 0001616278 August Raymond Alexander 100 BENEFITFOCUS WAY CHARLESTON SC 29492 1 1 0 0 President and CEO Common Stock 2020-04-01 4 M 0 1682 0.00 A 513607 D Performance Restricted Stock Units 2020-04-01 4 M 0 1682 0.00 D 2020-04-01 Common Stock 1682 3923 D Performance Restricted Stock Units 2020-04-01 4 D 0 3923 0.00 D 2020-04-01 Common Stock 3923 0 D Performance Restricted Stock Units 2020-04-01 4 D 0 74733 0.00 D 2023-04-01 Common Stock 74733 0 D Shares earned upon the vesting of a percentage of the performance restricted stock units ("PRSUs") granted to the Reporting Person on April 1, 2019. Each PRSU represented a contingent right to receive one share of Issuer common stock upon the Issuer's achievement of an annual revenue goal and an adjusted EBITDA goal, during the period of January 1, 2019 through December 31, 2019. Represents the portion of PRSUs that were forfeited to the Issuer after determining the percentage of PRSUs that vested. /s/ S. Halle Vakani, Attorney-in-Fact 2020-04-03