SEC Form 4 · accession 0001578735-17-000006
National General Holdings Corp. · NGHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donald Bolar
Officer — Chief Accounting Officer
Period of report
Feb 26, 2017
Accepted (ET)
Feb 28, 2017 · 6:11 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001578735
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, $.01 par valueF1 | Feb 26, 2017 | M | 732 | $0.00 | A | 1,200 | D | |
| Common Stock, $.01 par valueF2 | Feb 26, 2017 | F | 282 | $0.00 | D | 918 | D | |
| Common Stock, $.01 par valueF3 | Feb 27, 2017 | M | 598 | $0.00 | A | 1,516 | D | |
| Common Stock, $.01 par valueF4 | Feb 27, 2017 | F | 231 | $0.00 | D | 1,285 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF5,F6 | — | Feb 26, 2017 | M | 732 | D | — | — | Common Stock, $.01 par value | 732 | 1,467 | D |
| Restricted Stock UnitsF5,F7 | — | Feb 27, 2017 | M | 598 | D | — | — | Common Stock, $.01 par value | 598 | 599 | D |
| Restricted Stock UnitsF5,F8 | — | Feb 28, 2017 | A | 2,028 | A | — | — | Common Stock, $.01 par value | 2,028 | 2,028 | D |
Explanation of responses
- F1Acquisition of common stock resulting from vesting of one-third of the restricted stock units granted to Mr. Bolar on February 26, 2016.
- F2Disposition of common stock resulting from the withholding of securities for the payment of tax liability relating to the vesting of one-third of the restricted stock units granted to Mr. Bolar on February 26, 2016.
- F3Acquisition of common stock resulting from vesting of one-third of the restricted stock units granted to Mr. Bolar on February 27, 2015.
- F4Disposition of common stock resulting from the withholding of securities for the payment of tax liability relating to the vesting of one-third of the restricted stock units granted to Mr. Bolar on February 27, 2015.
- F5Each restricted stock unit represents a contingent right to receive one share of National General Holdings Corp.'s common stock.
- F6On February 26, 2016, Mr. Bolar received restricted stock units representing 2,199 shares subject to a three-year vesting schedule, vesting 33 1/3% on the first, second and third anniversaries of the grant date. As restricted stock units vest, the vested units are automatically converted to vested common stock on a one-for-one basis on the vesting date.
- F7On February 27, 2015, Mr. Bolar received restricted stock units representing 1,794 shares subject to a three-year vesting schedule, vesting 33 1/3% on the first, second and third anniversaries of the grant date. As restricted stock units vest, the vested units are automatically converted to vested common stock on a one-for-one basis on the vesting date.
- F8On February 28, 2017, Mr. Bolar received restricted stock units representing 2,028 shares subject to a three-year vesting schedule, vesting 33 1/3% on the first, second and third anniversaries of the grant date. As restricted stock units vest, the vested units are automatically converted to vested common stock on a one-for-one basis on the vesting date.