SEC Form 4 · accession 0001209191-15-073484
Diversicare Healthcare Services, Inc. · DVCR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Leslie Campbell
Officer — COO and Executive VP
Period of report
Sep 30, 2015
Accepted (ET)
Oct 2, 2015 · 5:43 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 | holding | — | — | — | 38,164 | 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 2013 Restricted SharesF2,F1 | — | Sep 30, 2015 | A | 30 | A | — | — | Common Stock | 30 | 449 | D |
| Dividend Equivalent Rights on 2014 Restricted SharesF2,F3 | — | Sep 30, 2015 | A | 47 | A | — | — | Common Stock | 47 | 344 | D |
| Dividend Equivalent Rights on 2015 Restricted SharesF2,F4 | — | Sep 30, 2015 | A | 69 | A | — | — | Common Stock | 69 | 172 | D |
| 2014 Restricted Stock UnitsF5,F6 | — | Sep 30, 2015 | A | 30 | A | — | — | Common Stock | 30 | 5,507 | D |
| 2015 Restricted Stock UnitsF5,F7 | — | Sep 30, 2015 | A | 47 | A | — | — | Common Stock | 47 | 8,723 | 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.
- F2Represents vesting of dividend equivalent.
- F3These dividend equivalent rights accrued on restricted stock granted on March 12, 2014 and will vest as the underlying shares vest.
- F4These dividend equivalent rights accrued on restricted stock granted on March 10, 2015 and will vest as the underlying shares vest.
- F5Each restricted stock unit is equal to one share.
- F6The 2014 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (3/12/2014).
- F7The 2015 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (3/10/2015).