Puerto
Rico
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66-0555678
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(State
of Other Jurisdiction of
Incorporation
or Organization)
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(I.R.S.
Employer
Identification
No.)
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1441
F.D. Roosevelt Avenue
San
Juan, Puerto Rico 00920
(787)
749-4949
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(Address
of Principal Executive Offices)
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TRIPLE-S
MANAGEMENT CORPORATION 2007 INCENTIVE PLAN
(Full
Title of the Plan)
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Ramón
M. Ruiz-Comas
President
and Chief Executive Officer
1441
F.D. Roosevelt Avenue
San
Juan, Puerto Rico 00920
(787)
749-4949
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(Telephone
Number, Including Area Code, of Agents for Service)
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With
a copy to:
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Nicholas
A. Kronfeld
Davis
Polk & Wardwell
450
Lexington Avenue
New
York, NY 10017
(212)
450-4000
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Title
of Each Class of Securities to be Registered
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Amount
To Be
Registered(1)
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Proposed
Maximum Offering Price Per Share(2)(3)
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Proposed
Maximum Aggregate Offering Price(2)(3)
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Amount
of
Registration
Fee(4)
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Class
B Common Stock, par value $1.00, to be issued
under the Triple-S Management Corporation 2007 Incentive
Plan
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999,310
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$14.50(2)
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$14,489,995(2)
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$569.46
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Class
B Common Stock, par value $1.00, to be issued
under the Triple-S Management Corporation 2007 Incentive
Plan
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3,700,690
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$17.62(3)
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$65,206,157.80(3)
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$2,562.60
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Total
Shares
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4,700,000
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$79,696,152.80
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$3,132.06
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(1)
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This
Registration Statement on Form S-8 (the “Registration Statement”) covers
shares of Class B Common Stock (“Common Stock”) of Triple-S Management
Corporation (the “Company” or the “Registrant”) (i) issuable pursuant to
the Triple-S Management Corporation 2007 Incentive Plan (the “Plan”) and
(ii) pursuant to Rule 416(a) under the Securities Act of 1933, as amended
(“Securities Act”), any additional shares of Common Stock that become
issuable under the Plan by reason of any stock dividend, stock split, or
other similar transaction.
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(2)
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Estimated
pursuant to Rule 457(h) under the Securities Act, solely for the purpose
of computing the registration fee of options granted and outstanding under
the Plan, based on the exercise price of $14.50 as set forth in the
table.
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(3)
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Estimated
pursuant to Rule 457(h) and Rule 457(c) under the Securities Act, solely
for the purpose of computing the registration fee, based on the average of
the high and low prices of the Common Stock reported on the New York Stock
Exchange on May 13, 2008. This includes shares of Common Stock
to be issued upon settlement of restricted stock units granted and
outstanding under the Plan.
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(4)
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Rounded
up to the nearest penny.
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Exhibit
Number
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4.1
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Amended
and Restated Articles of Incorporation of Triple-S Management Corporation,
as currently in effect (incorporated herein by reference to Exhibit
3.(I)(D) to the Company’s Annual Report on Form 10-K for the Year
Ended December 31, 2007 (File
No. 001-33865)).
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4.2
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Amended
and Restated Bylaws of Triple-S Management Corporation, as currently in
effect (incorporated herein
by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K
filed with the Commission on October 23, 2007 (File No.
000-49762)).
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5
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Opinion
of Pietrantoni Méndez & Alvarez LLP.
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23.1
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Consent
of KPMG LLP.
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23.2
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Consent
of Pietrantoni Méndez & Alvarez LLP (included in Exhibit
5).
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24
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Power
of Attorney (included in the signature pages hereof).
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99.1
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Triple-S
Management Corporation 2007 Incentive Plan (incorporated herein by
reference to Exhibit B to the Company’s Definitive Proxy Statement on
Schedule 14A filed with the Commission on March 27, 2008 (File No.
001-33865)).
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Triple-S Management Corporation | |||
By: |
/s/ Ramón M. Ruiz-Comas
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Name: Ramón
M. Ruiz-Comas, CPA
Title: President
and Chief Executive Officer
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Signature
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Title
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Date
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/s/
Luis A. Clavell-Rodríguez
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Chairman
of the Board
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May
15, 2008
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Luis
A. Clavell-Rodríguez
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/s/ Vicente J. León-Irizarry |
Vice
Chairman of the Board
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May
15, 2008
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Vicente
J. León-Irizarry
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/s/
Ramón M. Ruiz-Comas
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President
and Chief Executive Officer
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May
15, 2008
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Ramón
M. Ruiz-Comas
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/s/
Juan J. Román-Jiménez
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Vice
President of Finance and Chief Financial Officer
(Principal
Accounting Officer)
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May
15, 2008
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Juan
J. Román-Jiménez
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/s/
Valeriano Alicea-Cruz
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Director
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May
15, 2008
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Valeriano
Alicea-Cruz
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/s/
Jose Arturo Álvarez-Gallardo
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Director
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May
15, 2008
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Jose
Arturo Álvarez-Gallardo
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/s/
Carmen Ana Culpeper-Ramírez
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Director
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May
15, 2008
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Carmen
Ana Culpeper-Ramírez
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/s/
Porfirio E. Díaz-Torres
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Director
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May
15, 2008
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Porfirio
E. Díaz-Torres
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/s/
Antonio Faría-Soto
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Director
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May
15, 2008
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Antonio
Faría-Soto
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/s/
Manuel Figueroa-Collazo
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Director
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May
15, 2008
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Manuel
Figueroa-Collazo
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/s/
Jorge L. Fuentes-Benejam
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Director
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May
15, 2008
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||
Jorge L. Fuentes-Benejam | ||||
/s/
Jose Hawayek-Alemañy
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Director
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May
15, 2008
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Jose
Hawayek-Alemañy
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||||
/s/
Jaime Morgan-Stubbe
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Director
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May
15, 2008
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Jaime
Morgan-Stubbe
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/s/
Robert Muñoz-Zayas
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Director
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May
15, 2008
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Robert
Muñoz-Zayas
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||||
/s/
Juan E. Rodríguez-Díaz
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Director
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May
15, 2008
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Juan
E. Rodríguez-Díaz
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||||
/s/
Jesús R. Sánchez-Colón
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Director
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May
15, 2008
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Jesús
R. Sánchez-Colón
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/s/
Adamina Soto-Martínez
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Director
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May
15, 2008
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Adamina
Soto-Martínez
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Exhibit
Number
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4.1
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Amended
and Restated Articles of Incorporation of Triple-S Management Corporation,
as currently in effect (incorporated herein by reference to Exhibit
3.(I)(D) to the Company’s Annual Report on Form 10-K for the Year
Ended December 31, 2007 (File
No. 001-33865)).
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4.2
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Amended
and Restated Bylaws of Triple-S Management Corporation, as currently in
effect (incorporated herein
by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K
filed with the Commission on October 23, 2007 (File No.
000-49762)).
|
|
5
|
Opinion
of Pietrantoni Méndez & Alvarez LLP.
|
|
23.1
|
Consent
of KPMG LLP.
|
|
23.2
|
Consent
of Pietrantoni Méndez & Alvarez LLP (included in Exhibit
5).
|
|
24
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Power
of Attorney (included in the signature pages hereof).
|
|
99.1
|
Triple-S
Management Corporation 2007 Incentive Plan (incorporated herein by
reference to Exhibit B to the Company’s Definitive Proxy Statement on
Schedule 14A filed with the Commission on March 27, 2008 (File No.
001-33865)).
|