SEC Form 4 · accession 0001213777-17-000002
INDEPENDENCE HOLDING CO · IHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Larry Graber
Officer — Chief Life Annuity Actuary SVP · Director
Period of report
Aug 8, 2017
Accepted (ET)
Aug 9, 2017 · 5:48 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000701869
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F1,F2 | $9.99 | Aug 8, 2017 | D | 27,500 | D | — | Mar 18, 2018 | Common Stock | 27,500 | 0 | D |
| Stock Option (right to buy)F3 | $9.99 | Aug 8, 2017 | A | 27,500 | A | Mar 19, 2011 | Mar 18, 2018 | Common Stock | 27,500 | 27,500 | D |
| Stock Option (right to buy)F4,F5 | $9.09 | Aug 8, 2017 | D | 27,500 | D | — | Jan 4, 2019 | Common Stock | 27,500 | 0 | D |
| Stock Option (right to buy)F6 | $9.09 | Aug 8, 2017 | A | 27,500 | A | Jan 5, 2013 | Jan 4, 2019 | Common Stock | 27,500 | 27,500 | D |
Explanation of responses
- F1Granted on March 19, 2008 (the "2008 Option") under the Independence Holding Company 2006 Stock Incentive Plan ("2006 Plan"), which expired in 2016. The 2008 Option is being cancelled in exchange for issuance of a new option ("2008 Replacement Option") under the Independence Holding Company 2016 Stock Incentive Plan ("2016 Plan") that has the same terms as the cancelled 2008 Option.
- F2The option vests in three equal installments on each of the three annual anniversaries of the grant date of March 19, 2008. As of the date of the filing, the option has fully vested.
- F3Granted under the 2016 Plan upon cancellation of the 2008 Option. This 2008 Replacement Option is exercisable for the same number of shares as issuable under the 2008 Option and has the same expiration date and exercise price as the 2008 Option.
- F4Granted on January 5, 2010 ("2010 Option") under the 2006 Plan. The 2010 Option is being cancelled in exchange for issuance of a new option ("2010 Replacement Option") under the 2016 Plan that has the same terms as the cancelled 2010 Option.
- F5The option vests 1/3 on each of the first 3 anniversaries dates of the option holder's continuous service after the grant date of January 1, 2010. As of the date of the filing, the option has fully vested.
- F6Granted under the 2016 Plan upon cancellation of the 2010 Option. This 2010 Replacement Option is exercisable for the same number of shares as issuable under the 2010 Option and has the same expiration date and exercise price as the 2010 Option.