SEC Form 4 · accession 0001209191-16-108195
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
Mar 10, 2016
Accepted (ET)
Mar 14, 2016 · 5:57 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 StockF1 | Mar 10, 2016 | M | 86 | $0.00 | A | 38,250 | D | |
| Common Stock | Mar 10, 2016 | F | 1,162 | $0.00 | D | 37,088 | 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 2015 Restricted SharesF1,F5 | — | Mar 10, 2016 | M | 86 | D | — | — | Common Stock | 86 | 171 | D |
| Dividend Equivalent Rights on 2013 Restricted SharesF3 | — | holding | — | — | — | — | — | Common Stock | 486 | 486 | D |
| Dividend Equivalent Rights on 2014 Restricted SharesF4 | — | holding | — | — | — | — | — | Common Stock | 403 | 403 | D |
| 2014 Restricted Stock UnitsF6,F7 | — | holding | — | — | — | — | — | Common Stock | 5,544 | 5,544 | D |
| 2015 Restricted Stock UnitsF6,F8 | — | holding | — | — | — | — | — | Common Stock | 8,781 | 8,781 | D |
Explanation of responses
- F1Represents vesting of Dividend Equivalent Rights on 2015 Restricted Stock.
- F2This transaction represents shares withheld by the Company for tax withholdings on Ms. Campbell's vesting of 2015 Restricted Stock.
- F3These dividend equivalent rights accrued on shares of restricted stock granted on March 12, 2013 and will vest as the underlying shares vest.
- F4These dividend equivalent rights accrued on restricted stock granted on March 12, 2014 and will vest as the underlying shares vest.
- F5These dividend equivalent rights accrued on restricted stock granted on March 10, 2015 and will vest as the underlying shares vest.
- F6Each restricted stock unit is equal to one share.
- F7The 2014 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (3/12/2014).
- F8The 2015 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (3/10/2015).