0001104659-20-013499.txt : 20200210 0001104659-20-013499.hdr.sgml : 20200210 20200210161446 ACCESSION NUMBER: 0001104659-20-013499 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200210 FILED AS OF DATE: 20200210 DATE AS OF CHANGE: 20200210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Davison Daniel Paul CENTRAL INDEX KEY: 0001643356 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36677 FILM NUMBER: 20592082 MAIL ADDRESS: STREET 1: 754 BARNSTABLE LANE CITY: FRANKLIN LAKES STATE: NJ ZIP: 07417 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 a4.xml 4 X0306 4 2020-02-10 1 0001610092 Diplomat Pharmacy, Inc. DPLO 0001643356 Davison Daniel Paul 4100 S. SAGINAW ST. FLINT MI 48507 0 1 0 0 Chief Financial Officer Common Stock 2020-02-10 4 D 0 43209 0 D 200000 D Common Stock 2020-02-10 4 D 0 200000 0 D 0 D Employee Stock Option to Acquire Common Stock 405.90 2020-02-10 4 D 0 87478 0 D 2029-04-08 Common Stock 87478 0 D Pursuant to an Agreement and Plan of Merger, dated December 9, 2019 (the "Merger Agreement"), by and among UnitedHealth Group Incorporated, a Delaware corporation ("Parent"), Purchaser, a Michigan corporation and a wholly owned subsidiary of Parent and Diplomat Pharmacy, Inc., a Michigan corporation (the "Issuer"), certain outstanding restricted stock unit awards held by reporting person were converted into equity awards of the Parent pursuant to the closing on February 10, 2020 of the merger of Purchaser with and into the Issuer. These shares remain subject to time-based vesting requirements. One-third of the options vest on each of the first, second and third anniversary of the grant date (April 8, 2019). /s/ Christina Flint, by Power of Attorney 2020-02-10