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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option (4) | $ 26.52 | 02/05/2014 | A | 1,458 | (5) | 02/05/2024 | Common Stock | 1,458 | $ 0 | 1,458 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SASSANO CARL E C/O MEDIFAST, INC. 3600 CRONDALL LANE OWINGS MILLS, MD 21117 |
X |
/s/ Jason L. Groves, Esq., attorney-in-fact | 07/02/2014 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The original Form 4 filed on 3/17/2014 (the "Original Form 4") erroneously aggregated three separate awards (totaling 582 shares) which were made to the reporting person for satisfactory participation on the Board of Directors on various dates in 2013. This Amended Form 4 is being filed to correctly report each of the individual awards that were made to the reporting person which should have been reported separately on the Original Form 4. These shares will vest in full on 1/1/2015. |
(2) | The Original Form 4 erroneously aggregated three separate awards (totaling 582 shares) which were made to the reporting person in lieu of meeting fees on various dates in 2013. This Amended Form 4 is being filed to correctly report each of the individual awards that were made to the reporting person which should have been reported separately on the Original Form 4. |
(3) | These shares, which were granted to the reporting person for satisfactory participation on the Board of Directors, were inadvertently excluded from the Original Form 4. These shares will vest in full on 1/1/2016. |
(4) | This stock option grant was inadvertently excluded from the Original Form 4. |
(5) | These options will vest in three equal annual installments, beginning on the first anniversary of the grant date. |