SEC Form 4 · accession 0001209191-15-073502

Diversicare Healthcare Services, Inc. · DVCR

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

Reporting owner

Officer — Chief Financial Officer

Period of report

Sep 30, 2015

Accepted (ET)

Oct 2, 2015 · 5:47 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	—	—		—	49,829	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Dividend Equivalent Rights on 2013 Restricted Shares^F2,F1	—	Sep 30, 2015	A	25	A	—	—	Common Stock	25	374	D
Dividend Equivalent Rights on 2014 Restricted Shares^F2,F3	—	Sep 30, 2015	A	47	A	—	—	Common Stock	47	344	D
Dividend Equivalent Rights on 2015 Restricted Shares^F2,F4	—	Sep 30, 2015	A	69	A	—	—	Common Stock	69	172	D
2014 Restricted Stock Units^F5,F6	—	Sep 30, 2015	A	20	A	—	—	Common Stock	20	3,755	D
2015 Restricted Stock Units^F5,F7	—	Sep 30, 2015	A	36	A	—	—	Common Stock	36	6,663	D

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 shares of restricted stock granted on March 12, 2014 and will vest as the underlying shares vest.
F4These dividend equivalent rights accrued on shares of 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).