0001209191-18-019980.txt : 20180315 0001209191-18-019980.hdr.sgml : 20180315 20180315192100 ACCESSION NUMBER: 0001209191-18-019980 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180306 FILED AS OF DATE: 20180315 DATE AS OF CHANGE: 20180315 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: del Amo Mojica Jose CENTRAL INDEX KEY: 0001699407 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-33865 FILM NUMBER: 18693831 MAIL ADDRESS: STREET 1: 1441 F.D. ROOSEVELT AVE., 6TH FLOOR CITY: SAN JUAN STATE: PR ZIP: 00936 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 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2018-03-06 2018-03-08 0 0001171662 TRIPLE-S MANAGEMENT CORP GTS 0001699407 del Amo Mojica Jose 1441 F.D. ROOSEVELT AVE., 6TH FLOOR SAN JUAN PR 00936 PUERTO RICO 0 1 0 0 President, TSP and TIA Class B Common Stock 2018-03-06 4 A 0 2899 0.00 A 10472 D Class B Common Stock 2018-03-06 4 A 0 2247 0.00 A 12719 D Shares acquired represent grant of restricted stock that will vest in equal installments on each of March 6, 2019, 2020 and 2021. Shares acquired represent common stock earned pursuant to a grant of Performance Shares on March 3, 2015. The Performance Shares resulting in the issuance of these shares of common stock did not constitute derivative securities. As a result, such Performance Shares were not required to be reported and were not reported on a Form 4 at the time of the award. On March 8, 2018, the reporting person mistakenly filed a Form 4 reporting the acquisition of 718 shares of Class B Common Stock when in fact he acquired the number of shares specified in this Form. Mr. del Amo-Mojica is President of Triple-S Propiedad, Inc. ("TSP") and Triple-S Insurance Agency, Inc. ("TIA"). /s/ Manuel Rodriguez-Boissen, Attorney-in-fact 2018-03-08