SEC Form 4 · accession 0001375551-16-000051
DCP Holding CO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert C Hodgkins
Officer — Vice President & CFO
Period of report
Feb 29, 2016
Accepted (ET)
Mar 1, 2016 · 10:10 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001361025
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom StockF1,F2 | — | Feb 29, 2016 | P | 1 | A | — | — | Class B Common Shares | 1 | 48 | D |
Explanation of responses
- F1Each share of Phantom Stock is the economic equivalent of one Class B Common Share of Issuer.
- F2The Reporting Person acquired the Phantom Stock by electing to defer compensation into Phantom Stock under the Issuer's Deferred Compensation Plan. Pursuant to such election, the Phantom Stock will be settled in cash upon the termination of the Reporting Person's employment with the Issuer.