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