0001567619-20-005918.txt : 20200309
0001567619-20-005918.hdr.sgml : 20200309
20200309161913
ACCESSION NUMBER: 0001567619-20-005918
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200305
FILED AS OF DATE: 20200309
DATE AS OF CHANGE: 20200309
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: AVERY PAUL E
CENTRAL INDEX KEY: 0001033291
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812]
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35811
FILM NUMBER: 20698200
MAIL ADDRESS:
STREET 1: 16205 CONSOLES DE AVILA
CITY: TAMPA
STATE: FL
ZIP: 33613
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Benefytt Technologies, Inc.
CENTRAL INDEX KEY: 0001561387
STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411]
IRS NUMBER: 461282634
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 15438 N. FLORIDA AVENUE
STREET 2: SUITE 201
CITY: TAMPA
STATE: FL
ZIP: 33613
BUSINESS PHONE: 813-397-1187
MAIL ADDRESS:
STREET 1: 15438 N. FLORIDA AVENUE
STREET 2: SUITE 201
CITY: TAMPA
STATE: FL
ZIP: 33613
FORMER COMPANY:
FORMER CONFORMED NAME: Health Insurance Innovations, Inc.
DATE OF NAME CHANGE: 20121031
4
1
doc1.xml
FORM 4
X0306
4
2020-03-05
0
0001561387
Benefytt Technologies, Inc.
BFYT
0001033291
AVERY PAUL E
16205 SONSOLES DE AVILA
TAMPA
FL
33613
1
0
0
0
Class A Common Stock
2020-03-05
4
M
0
30000
13.97
A
59402
D
Class A Common Stock
2020-03-05
4
D
0
15302
27.39
D
44100
D
Stock Appreciation Rights
13.97
2020-03-05
4
M
0
30000
0
D
2020-03-08
Class A Common Stock
30000
0
D
Represents the exercise of stock appreciation rights immediately prior to the expiration thereof.
Shares retained by the issuer to satisfy the exercise price of stock appreciation rights.
These stock-settled stock appreciation rights were granted under the Issuer's Long Term Incentive Plan and are exercisable in full.
/s/ Paul E. Avery
2020-03-09