SEC Form 4 · accession 0001209191-16-131177
Diversicare Healthcare Services, Inc. · DVCR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert A McCabe Jr.
Director
Period of report
Jun 30, 2016
Accepted (ET)
Jul 5, 2016 · 5:21 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 | — | — | — | 3,000 | 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 2016 Restricted SharesF3,F2 | — | Jun 30, 2016 | A | 13 | A | — | — | Common Stock | 13 | 26 | D |
| Option to purchase Common StockF1 | $10.21 | holding | — | — | — | Oct 6, 2015 | Oct 6, 2025 | Common Stock | 15,000 | 15,000 | D |
Explanation of responses
- F15,000 vest on the date of grant, 5,000 vest on October 6, 2016 and 5,000 vest on October 6, 2017
- F2These dividend equivalent rights accrued on shares of restricted stock granted on March 11, 2016 and will vest as the underlying shares vest.
- F3Represents vesting of Dividend Equivalent Rights on 2016 Restricted Stock.