SEC Form 4 · accession 0001209191-16-108702
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 11, 2016
Accepted (ET)
Mar 15, 2016 · 8:13 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 | Mar 11, 2016 | A | 12,500 | $0.00 | A | 49,588 | D | |
| Common StockF1 | Mar 12, 2016 | M | 486 | $0.00 | A | 50,074 | D | |
| Common StockF2 | Mar 12, 2016 | M | 201 | $0.00 | A | 50,275 | D | |
| Common Stock | Mar 12, 2016 | F | 1,500 | $0.00 | D | 48,775 | D | |
| Common Stock | Mar 12, 2016 | F | 1,194 | $0.00 | D | 47,581 | D | |
| Common StockF5 | Mar 12, 2016 | M | 5,544 | $0.00 | A | 53,125 | D | |
| Common Stock | Mar 12, 2016 | F | 1,516 | $0.00 | D | 51,609 | 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 SharesF1,F7 | — | Mar 12, 2016 | M | 486 | D | — | — | Common Stock | 486 | 0 | D |
| Dividend Equivalent Rights on 2014 Restricted SharesF2,F8 | — | Mar 12, 2016 | M | 201 | D | — | — | Common Stock | 201 | 202 | D |
| 2014 Restricted Stock UnitsF12,F10,F11 | — | Mar 12, 2016 | M | 5,544 | D | — | — | Common Stock | 5,544 | 0 | D |
| 2016 Restricted Stock UnitsF14,F15 | — | Mar 11, 2016 | A | 4,070 | A | — | — | Common Stock | 4,070 | 4,070 | D |
| Dividend Equivalent Rights on 2015 Restricted SharesF9 | — | holding | — | — | — | — | — | Common Stock | 171 | 171 | D |
| 2015 Restricted Stock UnitsF10,F13 | — | holding | — | — | — | — | — | Common Stock | 8,781 | 8,781 | D |
Explanation of responses
- F1Represents vesting of Dividend Equivalent Rights on 2013 Restricted Stock.
- F10Each restricted stock unit is equal to one share.
- F11The 2014 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (3/12/2014).
- F12Each Restricted Stock Unit was the economic equivalent of one share of common stock. On March 12, 2016, 5,544 of the reporting person's Restricted Stock Units were settled for an equal number of shares of common stock.
- F13The 2015 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (3/10/2015).
- F14Ms. Campbell elected to receive $30,690 of her cash bonus for 2015 in Restricted Stock Units under the terms of the Advocat Inc. 2008 Stock Purchase Plan for Key Personnel. Each Restricted Stock Unit is equal to one share.
- F15The 2016 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (3/11/2016).
- F2Represents vesting of Dividend Equivalent Rights on 2014 Restricted Stock.
- F3This transaction represents shares withheld by the Company for tax withholdings on Ms. Campbell's vesting of 2013 Restricted Stock.
- F4This transaction represents shares withheld by the Company for tax withholdings on Ms. Campbell's vesting of 2014 Restricted Stock.
- F5Represents vesting of 2014 Restricted Stock Units.
- F6This transaction represents shares withheld by the Company for tax withholdings on Ms. Campbell's vesting of 2014 Restricted Stock Units.
- F7These dividend equivalent rights accrued on shares of restricted stock granted on March 12, 2013 and will vest as the underlying shares vest.
- F8These dividend equivalent rights accrued on restricted stock granted on March 12, 2014 and will vest as the underlying shares vest.
- F9These dividend equivalent rights accrued on restricted stock granted on March 10, 2015 and will vest as the underlying shares vest.