SEC Form 4 · accession 0001140361-15-011296
FedNat Holding Co · FNHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Carl Dorf
Director
Period of report
Mar 10, 2015
Accepted (ET)
Mar 11, 2015 · 2:03 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001069996
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.01 per shareF1,F2 | Mar 10, 2015 | A | 2,084 | — | A | 25,226 | D | |
| Common Stock, par value $0.01 per share | holding | — | — | — | 63,491 | I | Held by Dorf Trust | |
| Common Stock, par value $0.01 per share | holding | — | — | — | 59,624 | I | Held by Carl Dorf Rollover IRA |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options (right to buy)F3 | $2.45 | holding | — | — | — | Aug 22, 2012 | Aug 22, 2021 | Common Stock, par value $0.01 per share | 10,000 | 10,000 | D |
| Stock Options (right to buy)F3 | $4.40 | holding | — | — | — | Apr 6, 2013 | Apr 6, 2022 | Common Stock, par value $0.01 per share | 15,000 | 15,000 | D |
Explanation of responses
- F1Restricted stock award pursuant to the Issuer's 2012 Stock Incentive Plan.
- F22,381 restricted shares vested on 3/4/2015; therefore resulting from the vesting of 2,381 restricted shares and the grant of 2,084 restricted shares on 3/10/2015, a total of 15,511 of the Reporting Person's shares are subject to vesting under the Issuer's 2012 Stock Incentive Plan.
- F3Stock options vest 33 1/3% per year.