0001596771-15-000031.txt : 20150401
0001596771-15-000031.hdr.sgml : 20150401
20150401144841
ACCESSION NUMBER: 0001596771-15-000031
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150331
FILED AS OF DATE: 20150401
DATE AS OF CHANGE: 20150401
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Diplomat Pharmacy, Inc.
CENTRAL INDEX KEY: 0001610092
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DRUG STORES AND PROPRIETARY STORES [5912]
IRS NUMBER: 382063100
STATE OF INCORPORATION: MI
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4100 S. SAGINAW ST.
CITY: FLINT
STATE: MI
ZIP: 48507
BUSINESS PHONE: 888-720-4450
MAIL ADDRESS:
STREET 1: 4100 S. SAGINAW ST.
CITY: FLINT
STATE: MI
ZIP: 48507
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kadlec Gary W
CENTRAL INDEX KEY: 0001618898
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36677
FILM NUMBER: 15742721
MAIL ADDRESS:
STREET 1: 4100 S. SAGINAW STREET
CITY: FLINT
STATE: MI
ZIP: 48507
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2015-03-31
0
0001610092
Diplomat Pharmacy, Inc.
DPLO
0001618898
Kadlec Gary W
4100 S. SAGINAW STREET
FLINT
MI
48507
1
1
0
0
President
Employee Stock Option to Acquire Common Stock
4.28
2015-03-31
4
D
0
185352
23.27
D
2022-09-01
Common Stock
185352
8024
D
The options were granted on 9/1/12 and vest according to certain performance criteria of the company. As of the date hereof, 193,376 of the options had vested in accordance with the performance criteria.
On March 31, 2015, the options designated in column 5 were repurchased by the Issuer. The purchase price for the option repurchase was based on the $29.00 per common share price of the Issuer's March 25, 2015 public offering, net of the underwriting discount ($1.45) and the per share exercise price of the options.
Jeffrey H. Kuras, by Power of Attorney
2015-04-01