0001209191-21-012102.txt : 20210218 0001209191-21-012102.hdr.sgml : 20210218 20210218184735 ACCESSION NUMBER: 0001209191-21-012102 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210216 FILED AS OF DATE: 20210218 DATE AS OF CHANGE: 20210218 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rodriguez Ilia CENTRAL INDEX KEY: 0001749284 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33865 FILM NUMBER: 21651225 MAIL ADDRESS: STREET 1: 1441 F.D. ROOSEVELT AVE., 6TH FLOOR CITY: SAN JUAN STATE: PR ZIP: 00836 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 2021-02-16 0 0001171662 TRIPLE-S MANAGEMENT CORP GTS 0001749284 Rodriguez Ilia 1441 F.D. ROOSEVELT AVE., 6TH FLOOR SAN JUAN PR 00936 PUERTO RICO 0 1 0 0 Chief Human Resources Officer Class B Common Stock 2021-02-16 4 A 0 3962 0.00 A 10935 D Shares acquired represent common stock earned pursuant to a grant of Performance Shares on August 14, 2018. 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 2021-02-18