SEC Form 4 · accession 0001209191-17-001205
Diversicare Healthcare Services, Inc. · DVCR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Chad A. McCurdy
Director · 10% Owner
Period of report
Dec 31, 2016
Accepted (ET)
Jan 4, 2017 · 5:20 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 | — | — | — | 35,000 | I | In IRA | |
| Common Stock | holding | — | — | — | 185,000 | I | Jointly held with Spouse | |
| Common Stock | holding | — | — | — | 7,500 | I | In Spouse's IRA | |
| Common StockF1 | holding | — | — | — | 1,017,600 | I | Owned by Marlin Capital Partners, LLC | |
| Common StockF2 | holding | — | — | — | 15,000 | I | Owned by Dependent Children | |
| Common Stock | holding | — | — | — | 8,665 | 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 SharesF3 | — | Dec 31, 2016 | A | 1 | A | — | — | Common Stock | 1 | 9 | D |
| Dividend Equivalent Rights on 2015 Restricted SharesF4 | — | Dec 31, 2016 | A | 1 | A | — | — | Common Stock | 1 | 10 | D |
| Divident Equivalent Rights on 2016 Restricted SharesF5 | — | Dec 31, 2016 | A | 11 | A | — | — | Common Stock | 11 | 48 | D |
| Stock Settled Stock Appreciation RightF6 | $5.45 | holding | — | — | — | — | Jun 18, 2020 | Common Stock | 1,000 | 1,000 | D |
| Stock Settled Stock Appreciation RightF6 | $2.37 | holding | — | — | — | — | Mar 13, 2019 | Common Stock | 1,000 | 1,000 | D |
| Stock Options (right to buy)F6 | $10.80 | holding | — | — | — | — | Mar 12, 2018 | Common Stock | 15,000 | 15,000 | D |
Explanation of responses
- F1Mr. McCurdy is the Managing Partner of Marlin Capital Partners, LLC.
- F2This reporting person disclaims beneficial ownership of shares held by his children except to the extent of his pecuniary interest therein.
- 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.
- F5These dividend equivalent rights accrued on shares of restricted stock granted on March 11, 2016 and will vest as the underlying shares vest.
- F6Vests 1/3 on the 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.