SEC Form 4 · accession 0001209191-16-089133

Diversicare Healthcare Services, Inc. · DVCR

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

Reporting owner

Director

Period of report

Dec 31, 2015

Accepted (ET)

Jan 5, 2016 · 5:42 pm EST

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	—	—		—	32,646	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	—	Dec 31, 2015	A	1	A	—	—	Common Stock	1	11	D
Dividend Equivalent Rights on 2014 Restricted Shares^F2,F3	—	Dec 31, 2015	A	2	A	—	—	Common Stock	2	11	D
Dividend Equivalent Rights on 2015 Restricted Shares^F2,F4	—	Dec 31, 2015	A	2	A	—	—	Common Stock	2	7	D
Stock Settled Stock Appreciation Right^F5	$5.45	holding	—	—	—	—	Jun 18, 2020	Common Stock	1,000	1,000	D
Stock Settled Stock Appreciation Right^F5	$2.37	holding	—	—	—	—	Mar 13, 2019	Common Stock	1,000	1,000	D
Stock Settled Stock Appreciation Right^F5	$10.88	holding	—	—	—	—	Mar 14, 2018	Common Stock	1,000	1,000	D
Stock Settled Stock Appreciation Right^F5	$11.59	holding	—	—	—	—	Mar 7, 2017	Common Stock	1,000	1,000	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.
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.