0001209191-20-023255.txt : 20200403 0001209191-20-023255.hdr.sgml : 20200403 20200403170339 ACCESSION NUMBER: 0001209191-20-023255 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: Fini Annmarie CENTRAL INDEX KEY: 0001799183 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36061 FILM NUMBER: 20774405 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 0001799183 Fini Annmarie 100 BENEFITFOCUS WAY CHARLESTON SC 29492 0 1 0 0 Exec. VP Customer Success Org. Common Stock 2020-04-01 4 M 0 319 0.00 A 51952 D Common Stock 2020-04-01 4 S 0 3245 8.15 D 48707 D Performance Restricted Stock Units 2020-04-01 4 M 0 319 0.00 D 2020-04-01 Common Stock 319 744 D Performance Restricted Stock Units 2020-04-01 4 D 0 744 0.00 D 2020-04-01 Common Stock 744 0 D Performance Restricted Stock Units 2020-04-01 4 D 0 9572 0.00 D 2023-04-01 Common Stock 9572 0 D Stock Option (Right to Buy) 5.38 2020-07-01 Common Stock 5000 5000 D Stock Option (Right to Buy) 10.30 2022-10-01 Common Stock 7000 7000 D Stock Option (Right to Buy) 13.53 2023-05-08 Common Stock 2000 2000 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. This transaction was executed in multiple trades at prices ranging from $7.99 to $8.63. The price reported in Column 4 is a weighted average price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction were effected. Represents the portion of PRSUs that were forfeited to the Issuer after determining the percentage of PRSUs that vested. This option was granted on July 1, 2010 and vested over a four-year period with one-fourth (1/4) of the option granted vesting on July 1, 2011, the first anniversary of the vesting commencement date, and the balance of the option granted vesting ratably on a monthly basis over the following 36 months. This option was granted on October 1, 2012 and vested over a four-year period with one-fourth (1/4) of the option granted vesting on October 1, 2013, the first anniversary of the vesting commencement date, and the balance of the option granted vesting ratably on a monthly basis over the following 36 months. This option was granted on May 8, 2013 and vested over a four-year period with one-fourth (1/4) of the option granted vesting on May 8, 2014, the first anniversary of the vesting commencement date, and the balance of the option granted vesting ratably on a monthly basis over the following 36 months. /s/ S. Halle Vakani, Attorney-in-Fact 2020-04-03