Filing Details

Accession Number:
0001209191-19-058146
Form Type:
4/A
Zero Holdings:
No
Publication Time:
2019-11-26 17:07:43
Reporting Period:
2019-11-12
Accepted Time:
2019-11-26 17:07:43
Original Submission Date:
2019-11-14
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1171662 Triple-S Management Corp GTS Accident & Health Insurance (6321) 660555678
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1217331 Jr H David Chafey P.o. Box 363628
San Juan PR 00936-3628
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class B Common Stock Acquisiton 2019-11-12 5,375 $18.47 23,228 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Footnotes
  1. The price reported in Column 4 is a weighted average price. The shares were purchased in multiple transactions at prices ranging from $18.45 to $18.48, inclusive. The reporting person undertakes to provide to Triple-S Management Corporation ("TSM"), any security holder of TSM, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the range set forth in this footnote to this Form 4.
  2. On November 14, 2019, the reporting person filed a Form 4 reporting that he owned 22,361 shares of Class B Common Stock, when in fact he owned the number of shares specified in this Form. The amount of securities beneficially owned reported in Column 5 includes 867 Class B Common Stock shares received by the reporting person pursuant to a share dividend issued by TSM to all Class B Common Stock shareholders on August 6, 2019. The increase in the number of shares owned by a reporting person as a result of a share dividend is exempt from Section 16 of the Securities Exchange Act of 1934, as amended (the "Act"), under Rule 16a-9 of the Act. As a result, such shares were not required to be reported and were not reported on a Form 4 at the time of the share dividend.