0001193125-20-236358.txt : 20200831 0001193125-20-236358.hdr.sgml : 20200831 20200831170859 ACCESSION NUMBER: 0001193125-20-236358 CONFORMED SUBMISSION TYPE: 15-12B PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20200831 DATE AS OF CHANGE: 20200831 EFFECTIVENESS DATE: 20200831 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Benefytt Technologies, Inc. CENTRAL INDEX KEY: 0001561387 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 461282634 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-12B SEC ACT: 1934 Act SEC FILE NUMBER: 001-35811 FILM NUMBER: 201152280 BUSINESS ADDRESS: STREET 1: 3450 BUSCHWOOD PARK DR. STREET 2: SUITE 201 CITY: TAMPA STATE: FL ZIP: 33618 BUSINESS PHONE: (813) 397-1187 MAIL ADDRESS: STREET 1: 3450 BUSCHWOOD PARK DR. STREET 2: SUITE 201 CITY: TAMPA STATE: FL ZIP: 33618 FORMER COMPANY: FORMER CONFORMED NAME: Health Insurance Innovations, Inc. DATE OF NAME CHANGE: 20121031 15-12B 1 d940522d1512b.htm 15-12B 15-12B

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 15

 

 

CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION UNDER SECTION 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934 OR SUSPENSION OF DUTY TO FILE REPORTS UNDER SECTIONS 13 AND 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.

Commission File Number:

001-35811

 

 

 

Benefytt Technologies, Inc.

(Exact name of registrant as specified in its charter)

 

 

 

3450 Buschwood Park Dr., Suite 201

Tampa, FL 33618

(813) 397-1187

(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)

 

Class A Common Stock, par value $0.001 per share

(Title of each class of securities covered by this Form)

 

None

(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)

 

 

Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports:

 

Rule 12g-4(a)(1)   ☒
Rule 12g-4(a)(2)   ☐
Rule 12h-3(b)(1)(i)   ☒
Rule 12h-3(b)(1)(ii)   ☐
Rule 15d-6   ☐
Rule 15d-22(b)   ☐

Approximate number of holders of record as of the certification or notice date: 1

Pursuant to the requirements of the Securities Exchange Act of 1934 Benefytt Technologies, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.

 

Date:    August 31, 2020      By:    /s/ Erik Helding
       Name:   Erik Helding
       Title:   Chief Financial Officer and Secretary