SEC Form 4 · accession 0001140361-16-057628
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, 2016
Accepted (ET)
Mar 14, 2016 · 4:18 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, 2016 | A | 3,653 | — | A | 28,879 | D | |
| Common Stock, par value $0.01 per shareF3,F2 | Mar 11, 2016 | S | 1,197 | $19.31 | D | 27,682 | 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)F4 | $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)F4 | $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.
- F22,380 restricted shares vested on 3/4/2016 and 695 restricted shares vested on 3/10/2015; therefore resulting from the vesting of 3,075 restricted shares and the grant of 3,653 restricted shares on 3/10/2016, a total of 14,089 of the Reporting Person's shares are subject to vesting under the Issuer's 2012 Stock Incentive Plan.
- F3The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $19.35 to 19.45, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holding of the Issuer, or the staff of the SEC, upon request, full information regarding the number of share sold at each separate price with the range set forth above.
- F4Stock options vest 33 1/3% per year.