SEC Form 4 · accession 0001209191-17-020656
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
Mar 10, 2017
Accepted (ET)
Mar 14, 2017 · 7:38 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 StockF3 | Mar 10, 2017 | M | 4 | $0.00 | A | 8,669 | D | |
| Common StockF4 | Mar 11, 2017 | M | 16 | $0.00 | A | 8,685 | D | |
| Common StockF5 | Mar 12, 2017 | M | 9 | $0.00 | A | 8,694 | D | |
| Common Stock | Mar 13, 2017 | A | 2,000 | $0.00 | A | 10,694 | D | |
| 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 |
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 SharesF3,F6 | — | Mar 10, 2017 | M | 4 | D | — | — | Common Stock | 4 | 6 | D |
| Dividend Equivalent Rights on 2016 Restricted SharesF4,F7 | — | Mar 11, 2017 | M | 16 | D | — | — | Common Stock | 16 | 32 | D |
| Dividend Equivalent Rights on 2014 Restricted SharesF5,F8 | — | Mar 12, 2017 | M | 9 | D | — | — | Common Stock | 9 | 0 | D |
| Stock Settled Stock Appreciation RightF9 | $5.45 | holding | — | — | — | — | Jun 18, 2020 | Common Stock | 1,000 | 1,000 | D |
| Stock Settled Stock Appreciation RightF9 | $2.37 | holding | — | — | — | — | Mar 13, 2019 | Common Stock | 1,000 | 1,000 | D |
| Stock Options (right to buy)F9 | $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.
- F3Represents vesting of Dividend Equivalent Rights on 2015 Restricted Stock.
- F4Represents vesting of Dividend Equivalent Rights on 2016 Restricted Stock.
- F5Represents vesting of Dividend Equivalent Rights on 2014 Restricted Stock.
- F6These dividend equivalent rights accrued on shares of restricted stock granted on March 10, 2015 and will vest as the underlying shares vest.
- F7These dividend equivalent rights accrued on shares of restricted stock granted on March 11, 2016 and will vest as the underlying shares vest.
- F8These dividend equivalent rights accrued on shares of restricted stock granted on March 12, 2014 and will vest as the underlying shares vest.
- F9Vests 1/3 on 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.