Sec Form 4 Filing - Hagerman Philip R @ Diplomat Pharmacy, Inc. - 2015-10-26

Insider filing report for Changes in Beneficial Ownership
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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
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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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
X __ Officer (give title below) _____ Other (specify below)
Chairman and CEO
(Last) (First) (Middle)
4100 S. SAGINAW STREET
3. Date of Earliest Transaction (MM/DD/YY)
10/26/2015
(Street)
FLINT, MI48507
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction 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 10/26/2015 J( 1 ) 156,172 A $ 0 1,462,145 ( 2 ) I Philip R. Hagerman Revocable Trust ( 3 ) ( 4 )
Common Stock 3,891,609 ( 4 ) I 2007 Hagerman Family GST ( 5 )
Common Stock 10/26/2015 J( 1 ) 402 A $ 0 4,450,091 I The JH GST Trust ( 3 )
Common Stock 10/26/2015 J( 1 ) 56,624 D $ 0 1,780,876 I 2013 Irrev Exempt Trust for Daughter ( 5 )
Common Stock 10/26/2015 J( 1 ) 56,624 D $ 0 1,780,876 I 2013 Irrev Exempt Trust for Son ( 5 )
Common Stock 1,591,293 ( 4 ) I 2013 Irrev Exempt Trust for Daughter ( 3 )
Common Stock 1,591,292 ( 4 ) I 2013 Irrev Exempt Trust for Daughter ( 3 )
Common Stock 10/26/2015 J( 1 ) 21,462 D $ 0 624,337 ( 6 ) I 2014 Irrev Exempt Trust for Son ( 5 )
Common Stock 10/26/2015 J( 1 ) 21,462 D $ 0 624,337 ( 6 ) I 2014 Irrev Exempt Trust for Daughter ( 5 )
Common Stock 10/26/2015 J( 1 ) 201 D $ 0 624,337 ( 6 ) I 2014 Irrev Exempt Trust for Daughter ( 3 )
Common Stock 10/26/2015 J( 1 ) 201 D $ 0 624,337 ( 6 ) I 2014 Irrev Exempt Trust for Daughter ( 3 )
Common Stock 1,073,336 ( 2 ) I Philip Hagerman 2014 GRAT ( 5 )
Common Stock 1,073,336 ( 7 ) I Jocelyn Hagerman 2014 GRAT ( 3 )
Common Stock 357,836 ( 4 ) ( 7 ) I Jocelyn Hagerman Living Trust ( 5 )
Common Stock 263,500 I JH Marital Trust ( 3 )
Common Stock 272,000 I PH Marital Trust ( 5 )
Common Stock 394,910 I Irrevocable Trust for Son
Common Stock 394,910 I Irrevocable Trust for Daughter
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Hagerman Philip R
4100 S. SAGINAW STREET
FLINT, MI48507
X X Chairman and CEO
Signatures
Jeffrey H. Kuras, by Power of Attorney 10/28/2015
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Represents shares transferred from trusts established for the benefit of the reporting person's children to trusts established for the benefit of the reporting person in satisfaction of previously contracted debt between the applicable trusts.
( 2 )On July 17, 2015, 201,664 shares held by the Philip Hagerman 2014 GRAT were transferred to the Philip R. Hagerman Revocable Trust.
( 3 )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 the 2014 Irrevocable Exempt Trusts for two daughters, the Jocelyn Hagerman 2014 GRAT and the JH Marital Trust.
( 4 )Amounts indirectly owned by these trusts have been adjusted to reflect shares transferred from trusts established for the benefit of the reporting person's children to trusts established for the benefit of the reporting person's spouse in satisfaction of previously contracted debt between the trusts. These transfers did not affect the reporting person's pecuniary interest in any shares, only the form of indirect ownership.
( 5 )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 Philip Hagerman 2014 GRAT, the Jocelyn Hagerman Living Trust and the PH Marital Trust.
( 6 )Number of shares in this column reflects reported transactions. The number of shares in this column also reflects shares transferred from trusts established for the benefit of the reporting person's children to trusts established for the benefit of the reporting person's spouse in satisfaction of previously contracted debt between the trusts; these transfers did not affect the reporting person's pecuniary interest in any shares, only the form of indirect ownership.
( 7 )On July 17, 2015, 201,664 shares held by the Jocelyn Hagerman 2014 GRAT were transferred to the Jocelyn Hagerman Living Trust.

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