SEC Form 3 · accession 0001326024-19-000002
INDEPENDENCE HOLDING CO · IHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gary Balzofiore
Officer — SVP Specialty Health Ops
Period of report
Jan 7, 2019
Accepted (ET)
Jan 11, 2019 · 5:20 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 | holding | — | — | — | 30,372 | 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)F1 | $19.95 | holding | — | — | — | — | Dec 1, 2021 | Common Stock | 10,000 | — | D |
| Stock Appreciation RightF2 | $27.65 | holding | — | — | — | — | Nov 16, 2022 | Common Stock | 8,800 | — | D |
| Employee Stock Option (Right to Buy)F3 | $37.38 | holding | — | — | — | — | Jul 4, 2022 | Common Stock | 44,000 | — | D |
Explanation of responses
- F1Vests 1/3 on each of the first three annual anniversaries of the grant date of December 1, 2016.
- F2Vests 1/3 on each of the first three annual anniversaries of the grant date of November 16, 2017.
- F3Vests 1/3 on each of the first three annual anniversaries of the grant date of January 4, 2019.