SEC Form 4 · accession 0001401521-16-000188
AMERICAN COASTAL INSURANCE Corp · ACIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Alec Poitevint II
Director
Period of report
May 5, 2016
Accepted (ET)
May 6, 2016 · 4:09 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001401521
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | May 5, 2016 | A | 5,000 | $0.00 | A | 15,000 | D | |
| Common StockF2 | holding | — | — | — | 469,299 | I | See Footnote | |
| Common StockF3 | holding | — | — | — | 446,457 | I | See Footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These shares were acquired pursuant to a grant of restricted stock under the United Insurance Holdings Corp. 2013 Omnibus Incentive Plan. The restricted stock will vest on the earlier of (i) the first anniversary of the grant date or (ii) immediately prior to the first annual meeting of stockholders of the company that occurs in the year following the year of the grant date.
- F2Shares held by Reporting Person inderectly through Mineral Associates, Inc. Reporting Person has voting and investment power over these securities.
- F3Shares held by Reporting Person indirectly through SEM Minerals, LP, a limited partnership whose General Partner is SEM Minerals, Inc., of which Reporting Person is the Chairman and President.