SEC Form 4 · accession 0001209191-15-025719

Diversicare Healthcare Services, Inc. · DVCR

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — COO and Executive VP

Period of report

Mar 10, 2015

Accepted (ET)

Mar 12, 2015 · 5:52 pm EDT

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	Mar 10, 2015	A	12,500	$0.00	A	40,230	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
2015 Restricted Stock Units^F5,F6	—	Mar 10, 2015	A	8,604	A	—	—	Common Stock	8,604	8,604	D
Dividend Equivalent Rights on 2013 Restricted Shares^F1	—	holding	—	—	—	—	—	Common Stock	747	747	D
Dividend Equivalent Rights on 2014 Restricted Shares^F2	—	holding	—	—	—	—	—	Common Stock	340	340	D
2014 Restricted Stock Units^F3,F4	—	holding	—	—	—	—	—	Common Stock	5,432	5,432	D

F1These dividend equivalent rights accrued on shares of restricted stock granted on March 12, 2013 and will vest as the underlying shares vest.
F2These dividend equivalent rights accrued on restricted stock granted on March 12, 2014 and will vest as the underlying shares vest.
F3Each restricted stock unit is equal to one share.
F4The 2014 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (3/12/2014).
F5Ms. Campbell elected to receive $90,000 of her cash bonus for 2014 in Restricted Stock Units under the terms of the Advocat Inc. 2008 Stock Purchase Plan for Key Personnel. Each Restricted Stock Unit is equal to one share.
F6The 2015 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (3/10/2015).