0001209191-20-016781.txt : 20200305
0001209191-20-016781.hdr.sgml : 20200305
20200305192145
ACCESSION NUMBER: 0001209191-20-016781
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200303
FILED AS OF DATE: 20200305
DATE AS OF CHANGE: 20200305
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: del Amo Mojica Jose
CENTRAL INDEX KEY: 0001699407
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33865
FILM NUMBER: 20692210
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
STATE OF INCORPORATION: PR
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
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-03-03
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
2020-03-03
4
A
0
5619
0.00
A
23842
D
Class B Common Stock
2020-03-03
4
A
0
15650
0.00
A
39492
D
Shares acquired represent grant of restricted stock that will vest in equal installments on each of March 3, 2021, 2022 and 2023.
The amount of securities beneficially owned reported in Column 5 includes 885 Class B Common Stock shares received by the reporting person pursuant to a share dividend issued by Triple-S Management Corporation ("TSM") to all Class B Common Stock shareholders on August 6, 2019.
Shares acquired represent common stock earned pursuant to a grant of Performance Shares on March 7, 2017. 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.
/s/ Manuel Rodriguez-Boissen, Attorney-in-fact
2020-03-05