SEC Form 4 · accession 0001209191-16-143965
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
Sep 30, 2016
Accepted (ET)
Oct 4, 2016 · 2:17 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 | — | — | — | 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 2014 Restricted SharesF2,F1 | — | Sep 30, 2016 | A | 24 | A | — | — | Common Stock | 24 | 283 | D |
| Dividend Equivalent Rights on 2015 Restricted SharesF4,F3 | — | Sep 30, 2016 | A | 47 | A | — | — | Common Stock | 47 | 331 | D |
| Dividend Equivalent Rights on 2016 Restricted SharesF6,F5 | — | Sep 30, 2016 | A | 70 | A | — | — | Common Stock | 70 | 234 | D |
| 2015 Restricted Stock UnitsF7,F8 | — | Sep 30, 2016 | A | 49 | A | — | — | Common Stock | 49 | 8,946 | D |
| 2016 Restricted Stock UnitsF7,F9 | — | Sep 30, 2016 | A | 23 | A | — | — | Common Stock | 23 | 4,146 | D |
Explanation of responses
- F1These dividend equivalent rights accrued on restricted stock granted on March 12, 2014 and will vest as the underlying shares vest.
- F2Represents vesting of Dividend Equivalent Rights on 2014 Restricted Stock.
- F3These dividend equivalent rights accrued on restricted stock granted on March 10, 2015 and will vest as the underlying shares vest.
- F4Represents vesting of Dividend Equivalent Rights on 2015 Restricted Stock.
- F5These dividend equivalent rights accrued on shares of restricted stock granted on March 11, 2016 and will vest as the underlying shares vest.
- F6Represents vesting of Dividend Equivalent Rights on 2016 Restricted Stock.
- F7Each restricted stock unit is equal to one share.
- F8The 2015 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (3/10/2015).
- F9The 2016 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (3/11/2016).