0001567619-20-010112.txt : 20200514 0001567619-20-010112.hdr.sgml : 20200514 20200514163003 ACCESSION NUMBER: 0001567619-20-010112 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200512 FILED AS OF DATE: 20200514 DATE AS OF CHANGE: 20200514 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BARKETT ANTHONY CENTRAL INDEX KEY: 0001572024 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35811 FILM NUMBER: 20878236 MAIL ADDRESS: STREET 1: 15438 N FLORIDA AVENUE STREET 2: SUITE 201 CITY: TAMPA STATE: FL ZIP: 33613 ISSUER: 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 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 4 1 doc1.xml FORM 4 X0306 4 2020-05-12 0 0001561387 Benefytt Technologies, Inc. BFYT 0001572024 BARKETT ANTHONY C/O BENEFYTT TECHNOLOGIES, INC. 3450 BUSCHWOOD PARK DR., SUITE 200 TAMPA FL 33618 1 0 0 0 Class A Common Stock 2020-05-12 4 A 0 3688 0 A 92976 D These restricted shares were granted under the Issuer's Long Term Incentive Plan ("Plan") and are scheduled to vest 50% on May 12, 2021 and 50% on May 12, 2022, subject to the terms and conditions of the Plan and a Restricted Stock Award Agreement under the Plan. /s/ Anthony Barkett 2020-05-14