SEC Form 4 · accession 0001209191-15-073505
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
Sep 30, 2015
Accepted (ET)
Oct 2, 2015 · 5:49 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 | Sep 30, 2015 | S | 211 | $10.23 | D | 548,194 | I | Partnership |
| Common Stock | Sep 30, 2015 | S | 100 | $10.25 | D | 548,094 | I | Partnership |
| Common Stock | Sep 30, 2015 | S | 201 | $10.22 | D | 547,893 | I | Partnership |
| Common Stock | Sep 30, 2015 | S | 1,200 | $10.21 | D | 546,693 | I | Partnership |
| Common Stock | Sep 30, 2015 | S | 2,351 | $10.20 | D | 544,342 | I | Partnership |
| Common Stock | Sep 30, 2015 | S | 100 | $10.08 | D | 544,242 | I | Partnership |
| Common Stock | holding | — | — | — | 1,300 | I | Joint Ownership with Daughter | |
| Common Stock | holding | — | — | — | 6,646 | 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 | 1 | A | — | — | Common Stock | 1 | 10 | D |
| Dividend Equivalent Rights on 2014 Restricted SharesF2,F3 | — | Sep 30, 2015 | A | 1 | A | — | — | Common Stock | 1 | 9 | D |
| Dividend Equivalent Rights on 2015 Restricted SharesF2,F4 | — | Sep 30, 2015 | A | 2 | A | — | — | Common Stock | 2 | 5 | D |
| Stock Settled Stock Appreciation RightF5 | $5.45 | holding | — | — | — | — | Jun 18, 2020 | Common Stock | 1,000 | 1,000 | D |
| Stock Settled Stock Appreciation RightF5 | $2.37 | holding | — | — | — | — | Mar 13, 2019 | Common Stock | 1,000 | 1,000 | D |
| Stock Settled Stock Appreciation RightF5 | $10.88 | holding | — | — | — | — | Mar 14, 2018 | Common Stock | 1,000 | 1,000 | D |
| Stock Settled Stock Appreciation RightF5 | $11.59 | holding | — | — | — | — | Mar 7, 2017 | Common Stock | 1,000 | 1,000 | 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.
- 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.
- F5Vests 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.