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