SEC Form 4 · accession 0001213774-17-000003
INDEPENDENCE HOLDING CO · IHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David T Kettig
Officer — President & COO · Director
Period of report
Sep 25, 2017
Accepted (ET)
Sep 26, 2017 · 4:01 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000701869
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Sep 25, 2017 | M | 38,800 | $9.09 | A | 130,685 | D | |
| Common Stock | Sep 25, 2017 | F | 26,129 | $25.10 | D | 104,556 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to buy)F2 | $9.09 | Sep 25, 2017 | M | 38,800 | D | — | Jan 4, 2019 | Common Stock | 38,800 | 0 | D |
Explanation of responses
- F1Represents a "net exercise" of a stock option. The reporting person received 12,671 shares of common stock on net exercise of option to purchase 38,800 shares of common stock. The Company withheld 26,129 shares of common stock underlying the option for payment of the exercise price and applicable taxes, based on the closing stock price on September 25, 2017 of $25.10.
- F2The stock option has fully vested as of the date hereof.