SEC Form 4 · accession 0001140361-16-079815
FedNat Holding Co · FNHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Carl Dorf
Director
Period of report
Sep 13, 2016
Accepted (ET)
Sep 14, 2016 · 4:40 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 | Sep 13, 2016 | S | 655 | $17.82 | D | 27,027 | 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
- F1The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $17.811 to 17.84, 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.
- F22,000 restricted shares vested on 9/9/2016; therefore resulting from the vesting of 2,000 restricted shares, a total of 12,089 of the Reporting Person's shares are subject to vesting under the Issuer's 2012 Stock Incentive Plan.
- F3The stock options are fully vested.