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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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
del Amo Mojica Jose 1441 F.D. ROOSEVELT AVE., 6TH FLOOR SAN JUAN, PR 00936 |
President, TSP and TIA |
/s/ Manuel Rodriguez-Boissen, Attorney-in-fact | 03/07/2019 | |
**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) | Shares acquired represent grant of restricted stock that will vest in equal installments on each of March 6, 2019, 2020 and 2021. |
(2) | On March 15, 2018, the reporting person mistakenly filed a Form 4/A reporting that he owned 10,472 shares of Class B Common Stock following the reported transaction when in fact he owned the number of shares specified in this form. |
(3) | Shares acquired represent common stock earned pursuant to a grant of Performance Shares on March 3, 2015. The Performance Shares resulting in the issuance of these shares of common stock did not constitute derivative securities. As a result, such Performance Shares were not required to be reported and were not reported on a Form 4 at the time of the award. |
(4) | On March 15, 2018, the reporting person mistakenly filed a Form 4/A reporting that he owned 12,719 shares of Class B Common Stock following the reported transaction when in fact he owned the number of shares specified in this form. |
Remarks: Mr. del Amo-Mojica is President of Triple-S Propiedad, Inc. ("TSP") and Triple-S Insurance Agency, Inc. ("TIA"). |