0001596771-20-000001.txt : 20200206 0001596771-20-000001.hdr.sgml : 20200206 20200206190546 ACCESSION NUMBER: 0001596771-20-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200204 FILED AS OF DATE: 20200206 DATE AS OF CHANGE: 20200206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRIFFIN BRIAN T CENTRAL INDEX KEY: 0001252006 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36677 FILM NUMBER: 20584162 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Diplomat Pharmacy, Inc. CENTRAL INDEX KEY: 0001610092 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DRUG STORES AND PROPRIETARY STORES [5912] IRS NUMBER: 382063100 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4100 S. SAGINAW ST. CITY: FLINT STATE: MI ZIP: 48507 BUSINESS PHONE: 888-720-4450 MAIL ADDRESS: STREET 1: 4100 S. SAGINAW ST. CITY: FLINT STATE: MI ZIP: 48507 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2020-02-04 0 0001610092 Diplomat Pharmacy, Inc. DPLO 0001252006 GRIFFIN BRIAN T 4100 S. SAGINAW STREET FLINT MI 48507 1 1 0 0 Chairman and CEO Common Stock 2020-02-04 4 A 0 583580 0 A 815308 I BY grantor retained annuity trust Common Stock 2020-02-04 4 A 0 613372 0 A 1428680 I By grantor retained annuity trust Common Stock 11238 D On June 4, 2018, reporting person was granted restricted stock units that were subject to the Issuer's satisfaction of certain financial performance criteria. On February 4, 2020 (the "determination date"), the performance criteria was met with respect to 583,580 restricted stock units all of which vested upon the determination date. These shares are held by the Brian T. Griffin 2019 Grantor Retained Annuity Trust No. II. On June 4, 2019, reporting person was granted restricted stock units that were subject to the Issuer's satisfaction of certain financial performance criteria. On February 4, 2020 (the "determination date"), the performance criteria was met with respect to 613,372 restricted stock units. One-third of the restricted stock units vested upon the determination date, and the remaining two-thirds will vest in two equal installments on each anniversary of the determination date, subject to continued employment. Represents shares received upon the vesting of a portion of an inducement award of stock granted to the reporting person in connection with his appointment as CEO and Chairman, granted on June 4, 2018. /s/ Christina Flint, by Power of Attorney 2020-02-06