Statement of Changes in Beneficial Ownership (4)

Date : 06/05/2019 @ 9:12PM
Source : Edgar (US Regulatory)
Stock : Diplomat Pharmacy Inc (DPLO)
Quote : 4.0  0.0 (0.00%) @ 1:00AM
Diplomat Pharmacy share price Chart

Statement of Changes in Beneficial Ownership (4)

FORM 4
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).         
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response...
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

Hagerman Philip R
2. Issuer Name and Ticker or Trading Symbol

Diplomat Pharmacy, Inc. [ DPLO ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

__ X __ Director                      __ X __ 10% Owner
_____ Officer (give title below)      _____ Other (specify below)
(Last)          (First)          (Middle)

4100 S. SAGINAW ST.
3. Date of Earliest Transaction (MM/DD/YYYY)

6/3/2019
(Street)

FLINT, MI 48507
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
6. Individual or Joint/Group Filing (Check Applicable Line)

_ X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock   6/3/2019     A    33259   (1) A $0   38481   D    
Common Stock                  1280099   I   Philip R. Hagerman Revocable Trust   (2)
Common Stock                  3391609   I   2007 Hagerman Family GST   (3)
Common Stock                  3600091   I   The JH GST Trust   (2)
Common Stock                  1475876   I   2013 Irrev. Exempt Trust for Daughter   (3)
Common Stock                  1475876   I   2013 Irrev. Exempt Trust for Son   (3)
Common Stock                  1075293   I   2013 Irrev. Exempt Trust for Daughter   (2)
Common Stock                  1311292   I   2013 Irrev. Exempt Trust for Daughter   (2)
Common Stock                  313337   I   2014 Irrev. Exempt Trust for Son   (3)
Common Stock                  313337   I   2014 Irrev. Exempt Trust for Daughter   (3)
Common Stock                  313337   I   2014 Irrev. Exempt Trust for Daughter   (2)
Common Stock                  313337   I   2014 Irrev. Exempt Trust for Daughter   (2)
Common Stock                  367528   I   Jocelyn Hagerman Living Trust   (3)
Common Stock                  263500   I   JH Marital Trust   (2)
Common Stock                  272000   I   PH Marital Trust   (3)
Common Stock                  394910   I   Irrevocable Trust for Son  
Common Stock                  394910   I   Irrevocable Trust for Daughter  
Common Stock                  367256   I   Irrevocable Non-Exempt Trust for Son  
Common Stock                  367256   I   Irrevocable Non-Exempt Trust for Daughter  

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Trans. Date 3A. Deemed Execution Date, if any 4. Trans. 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 7. Title and Amount of Securities Underlying Derivative Security
(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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares

Explanation of Responses:
(1)  The shares of restricted stock were granted in connection with the Issuer's non-employee director compensation program.
(2)  These shares are indirectly owned by Mr. Hagerman as the trustee of the Philip R. Hagerman Revocable Trust, The JH GST Trust, the 2013 Irrevocable Exempt Trusts and 2014 Irrevocable Exempt Trusts for two daughters, and the JH Marital Trust.
(3)  Jocelyn Hagerman is Mr. Hagerman's wife. These shares are indirectly owned by her as a trustee of the 2007 Hagerman Family GST Trust, the 2013 Irrevocable Exempt Trusts and 2014 Irrevocable Exempt Trusts for a son and daughter, the Jocelyn Hagerman Living Trust, and the PH Marital Trust.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
Hagerman Philip R
4100 S. SAGINAW ST.
FLINT, MI 48507
X X


Signatures
/s/ Christina Flint, by Power of Attorney 6/5/2019
** Signature of Reporting Person Date


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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.

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