SEC Form 4 · accession 0001213778-18-000002
INDEPENDENCE HOLDING CO · IHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Teresa A Herbert
Officer — Chief Financial Officer, SVP · Director
Period of report
Dec 4, 2018
Accepted (ET)
Dec 6, 2018 · 1:51 pm EST
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 | Dec 4, 2018 | M | 24,000 | $9.09 | A | 89,658 | D | |
| Common Stock | Dec 4, 2018 | F | 14,527 | $38.52 | D | 75,131 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy)F2 | $9.09 | Dec 4, 2018 | M | 24,000 | D | — | Jan 4, 2019 | Common Stock | 24,000 | 23,300 | D |
Explanation of responses
- F1Represents a "net exercise" of stock option. The reporting person received 9,473 shares of common stock on net exercise option to purchase 24,000 shares of common stock. The Company withheld 14,527 shares of common stock underlying the option for payment of the exercise price and applicable taxes, based on the closing stock price on December 4, 2018 of $38.52.
- F2Fully vested as of the date hereof.