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