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