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