SEC Form 4 · accession 0001209191-15-000976
Diversicare Healthcare Services, Inc. · DVCR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kelly J. Gill
Officer — CEO & President · Director
Period of report
Dec 31, 2014
Accepted (ET)
Jan 5, 2015 · 4:29 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000919956
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 142,895 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Dividend Equivalent Rights on 2012 Restricted SharesF1 | — | Dec 31, 2014 | A | 54 | A | — | — | Common Stock | 54 | 981 | D |
| Dividend Equivalent Rights on 2013 Restricted SharesF2 | — | Dec 31, 2014 | A | 104 | A | — | — | Common Stock | 104 | 1,244 | D |
| Dividend Equivalent Rights on 2014 Restricted SharesF3 | — | Dec 31, 2014 | A | 149 | A | — | — | Common Stock | 149 | 681 | D |
| 2013 Restricted Stock UnitsF4,F5 | — | Dec 31, 2014 | A | 82 | A | — | — | Common Stock | 82 | 14,184 | D |
| 2014 Restricted Stock UnitsF4,F6 | — | Dec 31, 2014 | A | 60 | A | — | — | Common Stock | 60 | 10,371 | D |
| Stock Options (right to buy)F7 | $5.60 | holding | — | — | — | Nov 10, 2011 | Nov 10, 2021 | Common Stock | 50,000 | 50,000 | D |
| Stock Settled Stock Appreciation RightF7 | $6.21 | holding | — | — | — | Apr 5, 2011 | Apr 5, 2020 | Common Stock | 35,000 | 35,000 | D |
| Stock Settled Stock Appreciation RightF7 | $5.45 | holding | — | — | — | Jun 18, 2011 | Jun 18, 2020 | Common Stock | 15,000 | 15,000 | D |
Explanation of responses
- F1These dividend equivalent rights accrued on units of restricted stock units granted on March 12, 2012 and will vest as the underlying units vest.
- F2These dividend equivalent rights accrued on shares of restricted stock granted on March 12, 2013 and will vest as the underlying shares vest.
- F3These dividend equivalent rights accrued on shares of restricted stock granted on March 12, 2014 and will vest as the underlying shares vest.
- F4Each Restricted Stock Unit is equal to one share.
- F5The 2013 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (03/12/2013).
- F6The 2014 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (03/12/2014).
- F7Vests 1/3 on the first anniversary of the date of grant, 1/3 on the second anniversary of the date of grant, and 1/3 on the third anniversary of the date of grant.