Sec Form 4/A Filing - Hagerman Philip R @ Diplomat Pharmacy, Inc. - 2014-10-09

Insider filing report for Changes in Beneficial Ownership
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FORM 4/A
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)
10/09/2014
(Street)
FLINT, MI48507
4. If Amendment, Date Original Filed (MM/DD/YY)
10/10/2014
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ 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 10/09/2014 S 2,502,500 ( 1 ) D $ 13 2,105,309 I Philip R. Hagerman Rev Trust ( 2 )
Common Stock 10/09/2014 S 455,000 ( 1 ) D $ 13 4,141,207 I 2007 Hagerman Family GST ( 3 )
Common Stock 10/09/2014 S 455,000 ( 1 ) D $ 13 4,699,689 I The JH GST Trust ( 4 )
Common Stock 1,912,500 I 2013 Irrev Exempt Trust for Son ( 5 )
Common Stock 1,912,500 I 2013 Irrev Exempt Trust for Daughter ( 5 )
Common Stock 10/09/2014 S 189,583 ( 1 ) D $ 13 1,722,917 I 2013 Irrev Exempt Trust for Daughter ( 6 )
Common Stock 10/09/2014 S 189,584 ( 1 ) D $ 13 1,722,916 I 2013 Irrev Exempt Trust for Daughter ( 6 )
Common Stock 646,000 I 2014 Irrev Exempt Trust for Son ( 5 )
Common Stock 646,000 I 2014 Irrev Exempt Trust for Daughter ( 5 )
Common Stock 646,000 I 2014 Irrev Exempt Trust for Daughter ( 6 )
Common Stock 646,000 I 2014 Irrev Exempt Trust for Daughter ( 6 )
Common Stock 1,275,000 I Philip Hagerman 2014 GRAT ( 5 )
Common Stock 1,275,000 I Jocelyn Hagerman 2014 GRAT ( 6 )
Common Stock 263,500 I JH Marital Trust ( 6 )
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
Philip R. Hagerman Revocable Trust
4100 S. SAGINAW STREET
FLINT, MI48507
X
JH GST Trust
4100 S. SAGINAW STREET
FLINT, MI48507
X
2007 Hagerman Family GST Trust
4100 S. SAGINAW STREET
FLINT, MI48507
X
Hagerman Jocelyn
4100 S. SAGINAW STREET
FLINT, MI48507
X
Signatures
Jeffrey H. Kuras, by Power of Attorney for Philip Hagerman 01/15/2015
Signature of Reporting Person Date
Jeffrey H. Kuras, by Power of Attorney for Philip R. Hagerman Rev Trust 01/15/2015
Signature of Reporting Person Date
Jeffrey H. Kuras, by Power of Attorney for 2007 Hagerman Family GST Trust 01/15/2015
Signature of Reporting Person Date
Jeffrey H. Kuras, by Power of Attorney for The JH GST Trust 01/15/2015
Signature of Reporting Person Date
Jeffrey H. Kuras, by Power of Attorney, for Jocelyn Hagerman 01/15/2015
Signature of Reporting Person Date
Explanation of Responses:
( 1 )These shares were sold as part of the initial public offering of the issuer's common stock. This amendment reflects the additional shares sold in the initial public offering pursuant to the underwriters' exercise of an option to purchase such shares in connection with such offering; the additional sale of shares was inadvertently omitted from the initial filing.
( 2 )These shares are owned directly by the Philip R. Hagerman Revocable Trust, a ten percent owner of the issuer, and indirectly by Philip Hagerman as trustee of the trust. Mr. Hagerman is Chairman, CEO and a director of the issuer.
( 3 )These shares are owned directly by the 2007 Hagerman Family GST Trust, a ten percent owner of the issuer, and indirectly by Jocelyn Hagerman as trustee of the trust. Mrs. Hagerman is the wife of Philip Hagerman.
( 4 )These shares are owned directly by the JH GST Trust, a ten percent owner of the issuer, and indirectly by Philip R. Hagerman as trustee of the trust.
( 5 )As trustee of the 2013 Irrevocable Exempt Trusts and 2014 Irrevocable Exempt Trusts for a son and daughter, the Philip Hagerman 2014 GRAT and the PH Marital Trust, Jocelyn Hagerman indirectly owns these shares.
( 6 )These shares are indirectly owned by Mr. Hagerman, who serves as the trustee of the 2013 Irrevocable Exempt Trusts and 2014 Irrevocable Exempt Trusts for two daughters, the Jocelyn Hagerman 2014 GRAT and the JH Marital Trust.

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