0001209191-13-029777.txt : 20130530 0001209191-13-029777.hdr.sgml : 20130530 20130530211113 ACCESSION NUMBER: 0001209191-13-029777 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130522 FILED AS OF DATE: 20130530 DATE AS OF CHANGE: 20130530 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TRIPLE-S MANAGEMENT CORP CENTRAL INDEX KEY: 0001171662 STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321] IRS NUMBER: 660555678 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1441 F.D. ROOSEVELT AVE. CITY: SAN JUAN STATE: PR ZIP: 00920 BUSINESS PHONE: 7877494949 MAIL ADDRESS: STREET 1: 1441 F.D. ROOSEVELT AVE. CITY: SAN JUAN STATE: PR ZIP: 00920 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SANCHEZ COLON JESUS R CENTRAL INDEX KEY: 0001279542 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33865 FILM NUMBER: 13883350 MAIL ADDRESS: STREET 1: PO BOX 363628 CITY: SAN JUAN PUERTO RICO STATE: PR ZIP: 00936-3628 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2013-05-22 0 0001171662 TRIPLE-S MANAGEMENT CORP GTS 0001279542 SANCHEZ COLON JESUS R PO BOX 363628 SAN JUAN PR 00936-3628 PUERTO RICO 1 0 0 0 Class A Common Stock 2013-05-22 4 J 0 1013 0.00 D 0 D Class B Common Stock 2013-05-22 4 J 0 1013 0.00 A 11828 D Class B Common Stock 2013-05-22 4 S 0 736 18.25 D 11092 D On May 22, 2013 (the "Conversion Date"), Triple-S Management Corporation announced the conversion of 6,660,423 issued and outstanding shares of its Class A common stock into shares of Class B common stock (the "Conversion") in connection with the closing of a previously announced secondary offering of Class B common stock by certain selling shareholders. Represents total number of shares of Class A common stock converted into shares of Class B common stock on the Conversion Date. No purchase price was payable by the reporting person in the Conversion. Represents the total number of shares of Class A common stock owned as a result of the Conversion. Represents the total number of shares of Class B common stock owned as a result of the Conversion. Represents the total number of shares of Class B common stock owned after the sale of shares of Class B common stock by the reporting person in the secondary offering. /s/ Manuel Rodriguez Boissen, attorney-in-fact 2013-05-30