SEC Form 4 · accession 0001375551-17-000003
DCP Holding CO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Anthony A Cook
Officer — President & CEO · Director
Period of report
Jan 2, 2017
Accepted (ET)
Jan 4, 2017 · 8:43 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Share UnitsF1,F2 | $0.00 | Jan 2, 2017 | A | 20 | A | — | — | Class B Common Shares | 20 | 709 | D |
Explanation of responses
- F1Each Restricted Share Unit is the economic equivalent of one Class B Common Share of the Issuer.
- F2The Restricted Share Units have been granted to the Reporting Person pursuant to the Issuer's 2006 Dental Care Plus Management Equity Incentive Plan. The Restricted Share Units vest upon the earlier to occur of (i) the date of death, disability or retirement of the Reporting Person; or (ii) in accordance with a vesting schedule pursuant to which the Restricted Share Units vest annually on a percentage basis on the anniversary of the date of grant as follows: 10% after year 1; 30% after year 2; 60% after year 3; and 100% after year 4. The Reporting Person elected to defer the receipt of the Restricted Share Units under the Issuer's Deferred Compensation Plan, and therefore, the Restricted Share Units that vest will be settled in cash upon the Reporting Person's termination of employment with the Issuer.