SEC Form 4 · accession 0001209191-15-025741
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
Mar 10, 2015
Accepted (ET)
Mar 12, 2015 · 6:06 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 | 25,000 | $0.00 | A | 167,895 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 2015 Restricted Stock UnitsF7,F8 | — | Mar 10, 2015 | A | 15,057 | A | — | — | Common Stock | 15,057 | 15,057 | D |
| Dividend Equivalent Rights on 2012 Restricted SharesF1 | — | holding | — | — | — | — | — | Common Stock | 981 | 981 | D |
| Dividend Equivalent Rights on 2013 Restricted SharesF2 | — | holding | — | — | — | — | — | Common Stock | 1,244 | 1,244 | D |
| Dividend Equivalent Rights on 2014 Restricted SharesF3 | — | holding | — | — | — | — | — | Common Stock | 681 | 681 | D |
| 2013 Restricted Stock UnitsF4,F5 | — | holding | — | — | — | — | — | Common Stock | 14,184 | 14,184 | D |
| 2014 Restricted Stock UnitsF4,F6 | — | holding | — | — | — | — | — | Common Stock | 10,371 | 10,371 | D |
| Stock Options (right to buy)F9 | $5.60 | holding | — | — | — | Nov 10, 2011 | Nov 10, 2021 | Common Stock | 50,000 | 50,000 | D |
| Stock Settled Stock Appreciation RightF9 | $6.21 | holding | — | — | — | Apr 5, 2011 | Apr 5, 2020 | Common Stock | 35,000 | 35,000 | D |
| Stock Settled Stock Appreciation RightF9 | $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).
- F7Mr. Gill elected to receive $157,500 of his 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.
- F8The 2015 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (03/10/2015).
- F9Vests 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.