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SECURITIES AND EXCHANGE COMMISSION |
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Washington, DC 20549 |
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SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 2)*
Diplomat Pharmacy, Inc.
(Name of Issuer)
Common Stock, no par value
(Title of Class of Securities)
25456K 101
(CUSIP Number)
December 31, 2016
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
o |
Rule 13d-1(b) |
o |
Rule 13d-1(c) |
x |
Rule 13d-1(d) |
*The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
CUSIP No. 25456K 101 |
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Name of Reporting Person: | |||
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Check the Appropriate Box if a Member of a Group: | |||
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(a) |
o | ||
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(b) |
o | ||
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3 |
SEC Use Only: | |||
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Citizenship or Place of Organization: | |||
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Number of |
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Sole Voting Power: | |||
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Shared Voting Power: | ||||
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Sole Dispositive Power: | ||||
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Shared Dispositive Power: | ||||
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9 |
Aggregate Amount Beneficially Owned by Each Reporting Person: | |||
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10 |
Check if the Aggregate Amount in Row (9) Excludes Certain Shares: o | |||
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Percent of Class Represented by Amount in Row (9): | |||
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Type of Reporting Person: | |||
(1) Includes an option to purchase 76,726 shares of common stock at an exercise price of $39.26 per share.
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Name of Reporting Person: | |||
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Check the Appropriate Box if a Member of a Group: | |||
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(a) |
o | ||
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(b) |
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3 |
SEC Use Only: | |||
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4 |
Citizenship or Place of Organization: | |||
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Number of |
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Sole Voting Power: | |||
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Shared Voting Power: | ||||
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Sole Dispositive Power: | ||||
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Shared Dispositive Power: | ||||
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Aggregate Amount Beneficially Owned by Each Reporting Person: | |||
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10 |
Check if the Aggregate Amount in Row (9) Excludes Certain Shares: o | |||
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Percent of Class Represented by Amount in Row (9): | |||
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Type of Reporting Person: | |||
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1 |
Name of Reporting Person: | |||
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2 |
Check the Appropriate Box if a Member of a Group: | |||
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(a) |
o | ||
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(b) |
o | ||
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3 |
SEC Use Only: | |||
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Citizenship or Place of Organization: | |||
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Number of |
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Sole Voting Power: | |||
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Shared Voting Power: | ||||
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Sole Dispositive Power: | ||||
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Shared Dispositive Power: | ||||
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9 |
Aggregate Amount Beneficially Owned by Each Reporting Person: | |||
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10 |
Check if the Aggregate Amount in Row (9) Excludes Certain Shares: o | |||
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Percent of Class Represented by Amount in Row (9): | |||
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Type of Reporting Person: | |||
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1 |
Name of Reporting Person: | |||
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2 |
Check the Appropriate Box if a Member of a Group: | |||
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(a) |
o | ||
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(b) |
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3 |
SEC Use Only: | |||
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Citizenship or Place of Organization: | |||
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Number of |
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Sole Voting Power: | |||
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Shared Voting Power: | ||||
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Sole Dispositive Power: | ||||
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Shared Dispositive Power: | ||||
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9 |
Aggregate Amount Beneficially Owned by Each Reporting Person: | |||
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Check if the Aggregate Amount in Row (9) Excludes Certain Shares: o | |||
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Percent of Class Represented by Amount in Row (9): | |||
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Type of Reporting Person: | |||
END OF COVER PAGE
The Reporting Persons named in Item 2 below are hereby jointly filing this Schedule 13G (this Statement) because due to certain relationships among the Reporting Persons, such Reporting Persons may be deemed to beneficially own the same securities named in Item 4 below by one of the Reporting Persons. In accordance with Rule 13d-1(k)(1)(iii) promulgated pursuant to the Securities Exchange Act of 1934, as amended (the Exchange Act), the Reporting Persons named in Item 2 below have executed a written agreement relating to the joint filing of this Schedule 13G (the Joint Filing Agreement), a copy of which is attached hereto as Exhibit 1.
Item 1. |
(a) |
Name of Issuer. | |
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(b) |
Address of Issuers Principal Executive Offices. | |
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Item 2. |
(a) |
Name of Persons Filing (collectively, the Reporting Persons). (ii) The 2007 Hagerman Family GST Trust (the 2007 Trust) (iii) JH GST Trust (the JH Trust) (iv) Jocelyn Hagerman | |
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(b) |
Address or Principal Business Office or, if none, Residence. | |
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(c) |
Citizenship or place of organization. | |
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(d) |
Title of Class of Securities. | |
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(e) |
CUSIP No. | |
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Item 3. |
If this statement is filed pursuant to §§.240.13d-1(b) or 240.13d-2(b), or (c), check whether the person filing is a: | ||
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(a) |
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Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o). |
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(b) |
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Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c). |
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(c) |
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Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c). |
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(d) |
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Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8). |
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(e) |
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An investment adviser in accordance with § 240.13d-1(b)(1)(ii)(E). |
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(f) |
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An employee benefit plan or endowment fund in accordance with § 240.13d-1(b)(1)(ii)(F). |
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(g) |
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A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G). |
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(h) |
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A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813). |
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(i) |
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A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3). |
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(j) |
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A non-U.S. institution in accordance with §240.13d1(b)(1)(ii)(J). |
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(k) |
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Group, in accordance with § 240.13d1(b)(1)(ii)(K). If filing as a non-U.S. institution in accordance with |
Item 4. |
Ownership. |
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(c) |
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Name |
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(b) |
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Sole Power to |
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Shared Power |
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Sole Power to |
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Shared Power |
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Philip R. Hagerman(1) |
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19,917,570 |
(2) |
29.8 |
% |
9,804,544 |
(3) |
10,113,026 |
(4) |
9,804,544 |
(3) |
10,113,026 |
(4) |
2007 Hagerman Family GST Trust(1) |
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3,891,609 |
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5.8 |
% |
0 |
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3,891,609 |
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0 |
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3,891,609 |
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JH GST Trust(1) |
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4,450,091 |
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6.7 |
% |
0 |
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4,450,091 |
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0 |
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4,450,091 |
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Jocelyn Hagerman(1) |
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8,588,694 |
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12.9 |
% |
3,798,411 |
(5) |
4,790,283 |
(6) |
3,798,411 |
(5) |
4,790,283 |
(6) |
(1) By reason of the provisions of Rule 13d-3 of the Act, Mr. and Mrs. Hagerman may be deemed to beneficially own the shares beneficially owned by the trusts for which they serve as trustee. Both Mr. and Mrs. Hagerman disclaim beneficial ownership of the securities owned by the trusts except to their pecuniary interest therein.
(2) Represents the following: 1,499,756 shares of Common Stock held by the Philip R. Hagerman Revocable Trust, 3,891,609 shares of Common Stock held by the 2007 Hagerman Family GST Trust, 4,450,091 shares of Common Stock held by the JH GST Trust, 1,550,876 shares of Common Stock held by the 2013 Irrevocable Exempt Trust for Thomas R. Hagerman, 1,550,876 shares of Common Stock held by the 2013 Irrevocable Exempt Trust for Taylor G. Hagerman, 1,371,292 shares of Common Stock held by the 2013 Irrevocable Exempt Trust for Jennifer K. Hagerman, 1,215,293 shares of Common Stock held by the 2013 Irrevocable Exempt Trust for Megan Lineberger, 313,337 shares of Common Stock held by the 2014 Irrevocable Exempt Trust for Thomas R. Hagerman, 313,337 shares of Common Stock held by the 2014 Irrevocable Exempt Trust for Taylor G. Hagerman, 313,337 shares of Common Stock held by the 2014 Irrevocable Exempt Trust for Jennifer K. Hagerman, 313,337 shares of Common Stock held by the 2014 Irrevocable Exempt Trust for Megan Lineberger, 301,212 shares of Common Stock held by the Philip R. Hagerman Living Trust, 696,659 shares of Common Stock held by the Jocelyn Hagerman Living Trust, 263,500 shares of Common Stock held by the JH Marital Trust, 272,000 shares of Common Stock held by the PH Marital Trust, 394,910 shares of Common Stock held by the Irrevocable Trust for Thomas Hagerman, 394,910 shares of Common Stock held by the Irrevocable Trust for Taylor Hagerman, 367,256 shares of Common Stock held by the Irrevocable Non-Exempt Trust for Taylor Hagerman, and 367,256 shares of Common Stock held by the Irrevocable Non-Exempt Trust for Taylor Hagerman. Mr. Hagerman disclaims beneficial ownership of these shares and this report shall not be deemed as an admission of beneficial ownership of the reported securities. Also includes an option to purchase 76,726 shares of common stock at an exercise price of $39.26 per share.
(3) Represents the following owned by trusts for which Mr. Hagerman is the sole trustee: 1,499,756 shares of Common Stock held by the Philip R. Hagerman Revocable Trust, 4,450,091 shares of Common Stock held by the JH GST Trust, 1,371,292 shares of Common Stock held by the 2013 Irrevocable Exempt Trust for Jennifer K. Hagerman, 1,215,293 shares of Common Stock held by the 2013 Irrevocable Exempt Trust for Megan Lineberger, 313,337 shares of Common Stock held by the 2014 Irrevocable Exempt Trust for Jennifer K. Hagerman, 313,337 shares of Common Stock held by the 2014 Irrevocable Exempt Trust for Megan Lineberger, 301,212 shares of Common Stock held by the Philip R. Hagerman Living Trust, and 263,500 shares of Common Stock held by the JH Marital Trust. Also includes an option to purchase 76,726 shares of common stock at an exercise price of $39.26 per share.
(4) Includes the following owned by trusts for the benefit of Mr. Hagermans minor children: 394,910 shares of Common Stock held by the Irrevocable Trust for Thomas Hagerman, 394,910 shares of Common Stock held by the Irrevocable Trust for Taylor Hagerman, 367,256 shares of Common Stock held by the Irrevocable Non-Exempt Trust for Taylor Hagerman, and 367,256 shares of Common Stock held by the Irrevocable Non-Exempt Trust for Taylor Hagerman.
(5) Represents the following owned by trusts for which Mrs. Hagerman is the sole trustee: 1,550,876 shares of Common Stock held by the 2013 Irrevocable Exempt Trust for Thomas R. Hagerman, 1,550,876 shares of Common Stock held by the 2013 Irrevocable Exempt Trust for Taylor G. Hagerman, and 696,659 shares of Common stock held by the Jocelyn Hagerman Living Trust.
(6) Represents the following owned by trusts for which Mrs. Hagerman is a co-trustee: 3,891,609 shares of Common Stock held by the 2007 Hagerman Family GST Trust, 313,337 shares of Common Stock held by the 2014 Irrevocable Exempt Trust for Thomas Hagerman, 313,337 shares of Common Stock held by the 2014 Irrevocable Exempt Trust for Taylor Hagerman, and 272,000 shares of Common Stock held by the PH Marital Trust. Amy Glenn serves as co-trustee of the 2007 Hagerman Family GST Trust, the 2014 Irrevocable Exempt Trust for Thomas Hagerman, the 2014 Irrevocable Exempt Trust for Taylor Hagerman and the PH Marital Trust. Ms. Glenn disclaims beneficial ownership of the securities owned by the trusts.
* As of December 31, 2016 (based on 66,764,999 shares of the Issuers Common Stock outstanding as reported by the Issuer to the Reporting Persons).
Item 5. |
Ownership of Five Percent or Less of a Class. |
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Not applicable. |
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Item 6. |
Ownership of More than Five Percent on Behalf of Another Person. |
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Not applicable. |
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Item 7. |
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person. |
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Not applicable. |
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Item 8. |
Identification and Classification of Members of the Group. |
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Not applicable. |
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Item 9. |
Notice of Dissolution of Group. |
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Not applicable. |
Item 10. |
Certification. |
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SIGNATURES
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Dated: February 14, 2017
PHILIP R. HAGERMAN |
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/s/ Philip R. Hagerman |
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Philip R. Hagerman, individually |
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THE 2007 HAGERMAN FAMILY GST TRUST |
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/s/ Jocelyn Hagerman |
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Name: Jocelyn Hagerman |
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Title: Trustee |
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JH GST TRUST |
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/s/ Philip R. Hagerman |
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Name: Philip R. Hagerman |
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Title: Trustee |
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JOCELYN HAGERMAN |
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/s/ Jocelyn Hagerman |
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Jocelyn Hagerman, individually |
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Exhibit 1
JOINT FILING AGREEMENT
Pursuant to Rule 13d-1(k)(1)(iii) of the Securities Exchange Act of 1934, each of the undersigned agrees that a single joint Schedule 13G and any amendments thereto may be filed on behalf of each of the undersigned with respect to the securities held by each of them in Diplomat Pharmacy, Inc.
The undersigned further agree that each party hereto is responsible for the timely filing of such Statement on Schedule 13G and any amendments thereto, and for the accuracy and completeness of the information concerning such party contained therein; provided, however, that no party is responsible for the accuracy or completeness of the information concerning any other party, unless such party knows or has reason to believe that such information is inaccurate.
IN WITNESS WHEREOF, the undersigned have executed this Agreement as of February 14, 2017.
PHILIP R. HAGERMAN |
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/s/ Philip R. Hagerman |
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Philip R. Hagerman, individually |
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THE 2007 HAGERMAN FAMILY GST TRUST |
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/s/ Jocelyn Hagerman |
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Name: Jocelyn Hagerman |
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Title: Trustee |
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JH GST TRUST |
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/s/ Philip R. Hagerman |
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Name: Philip R. Hagerman |
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Title: Trustee |
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JOCELYN HAGERMAN |
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/s/ Jocelyn Hagerman |
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Jocelyn Hagerman, individually |
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