SEC Form 4 · accession 0001209191-15-050717
Diversicare Healthcare Services, Inc. · DVCR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Wallace E Olson
Director
Period of report
Jun 4, 2015
Accepted (ET)
Jun 5, 2015 · 5:35 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 | Jun 4, 2015 | A | 5,000 | $0.00 | A | 6,646 | D | |
| Common Stock | holding | — | — | — | 548,900 | I | Partnership | |
| Common Stock | holding | — | — | — | 1,300 | I | Joint Ownership with Daughter |
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 2013 Restricted SharesF1 | — | holding | — | — | — | — | — | Common Stock | 9 | 9 | D |
| Dividend Equivalent Rights on 2014 Restricted SharesF2 | — | holding | — | — | — | — | — | Common Stock | 7 | 7 | D |
| Dividend Equivalent Rights on 2015 Restricted SharesF3 | — | holding | — | — | — | — | — | Common Stock | 1 | 1 | D |
| Stock Settled Stock Appreciation RightF4 | $5.45 | holding | — | — | — | — | Jun 18, 2020 | Common Stock | 1,000 | 1,000 | D |
| Stock Settled Stock Appreciation RightF4 | $2.37 | holding | — | — | — | — | Mar 13, 2019 | Common Stock | 1,000 | 1,000 | D |
| Stock Settled Stock Appreciation RightF4 | $10.88 | holding | — | — | — | — | Mar 14, 2018 | Common Stock | 1,000 | 1,000 | D |
| Stock Settled Stock Appreciation RightF4 | $11.59 | holding | — | — | — | — | Mar 7, 2017 | Common Stock | 1,000 | 1,000 | D |
| Stock Options (right to buy)F4 | $5.44 | holding | — | — | — | — | Dec 13, 2015 | Common Stock | 4,000 | 4,000 | D |
Explanation of responses
- 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 shares of restricted stock granted on March 12, 2014 and will vest as the underlying shares vest.
- F3These dividend equivalent rights accrued on shares of restricted stock granted on March 10, 2015 and will vest as the underlying shares vest.
- F4Vests 1/3 on 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.