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Filing Details

Accession Number:
0001140361-19-021966
Form Type:
4
Zero Holdings:
No
Publication Time:
2019-12-05 08:19:56
Reporting Period:
2019-12-04
Accepted Time:
2019-12-05 08:19:56
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1561387 Health Insurance Innovations Inc. HIIQ Insurance Agents, Brokers & Service (6411) 461282634
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1569146 W Michael Kosloske 16221 Villarreal De Avila
Tampa FL 33613
No No No No
1571685 Health Plan Intermediaries Sub, Llc C/o Health Insurance Innovations, Inc.
15438 N. Florida Avenue, Suite 201
Tampa FL 33613
No No No No
1571686 Health Plan Intermediaires, Llc C/o Health Insurance Innovations, Inc.
15438 N. Florida Avenue, Suite 201
Tampa FL 33613
No 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 A Common Stock Disposition 2019-12-04 6,250 $18.88 0 No 4 S Indirect See Footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Indirect See Footnote
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Class A Common Stock 5,643 Indirect See Footnote
Class B Common Stock 1,916,667 Indirect See Footnote
Footnotes
  1. Represents the weighted average of a range of sale prices from $18.68 to $19.04. The reporting person undertakes to provide to the Staff of the Securities and Exchange Commission, the Company or any stockholder of the Company, upon request, full information regarding the number of shares sold at each separate price.
  2. This number of shares consists of shares of Class A Common Stock held of record by Health Plan Intermediaries Sub, LLC ("HPIS"). Michael Kosloske is the sole member and primary manager of Health Plan Intermediaries, LLC ("HPI"), which is the sole managing member of HPIS and has sole voting and dispositive power over the shares held by HPIS. Mr. Kosloske, by virtue of his control of HPI and HPI's control of HPIS, may be deemed to beneficially own all the shares of Class A Common Stock held of record by HPIS.
  3. By Lori Kosloske. Michael Kosloske and Lori Kosloske are husband and wife.
  4. Each share of Class B Common Stock held by the reporting persons, together with one Series B Membership Interest held by the reporting persons in Health Plan Intermediaries Holdings, LLC ("HPIH"), are together exchangeable, at any time, at the reporting persons' election, for one share of Class A Common Stock. This exchange right has no expiration date.
  5. This number of shares consists of 1,896,701 shares of Class B Common Stock held of record by HPI and 19,966 shares of Class B Common Stock held by HPIS. Michael Kosloske is the sole member and primary manager of HPI, and has sole voting and dispositive power over the shares held by HPI. HPI is the sole managing member of HPIS and has sole voting and dispositive power over the shares held by HPIS. Mr. Kosloske, by virtue of his control of HPI and HPI's control of HPIS, may be deemed to beneficially own all the shares of Class B Common Stock held of record by each of HPI and HPIS.