SEC Form 4 · accession 0001209191-17-020658
Diversicare Healthcare Services, Inc. · DVCR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Wallace E Olson
Director
Period of report
Mar 10, 2017
Accepted (ET)
Mar 14, 2017 · 7:39 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 StockF1 | Mar 10, 2017 | M | 4 | $0.00 | A | 8,669 | D | |
| Common StockF2 | Mar 11, 2017 | M | 16 | $0.00 | A | 8,685 | D | |
| Common StockF3 | 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 | — | — | — | 544,242 | I | Partnership | |
| Common Stock | holding | — | — | — | 1,300 | I | Joint Ownership with Daughter |
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 SharesF1,F4 | — | Mar 10, 2017 | M | 4 | D | — | — | Common Stock | 4 | 6 | D |
| Dividend Equivalent Rights on 2016 Restricted SharesF2,F5 | — | Mar 11, 2017 | M | 16 | D | — | — | Common Stock | 16 | 32 | D |
| Dividend Equivalent Rights on 2014 Restricted SharesF3,F6 | — | Mar 12, 2017 | M | 9 | D | — | — | Common Stock | 9 | 0 | D |
| Stock Settled Stock Appreciation RightF7 | $5.45 | holding | — | — | — | — | Jun 18, 2020 | Common Stock | 1,000 | 1,000 | D |
| Stock Settled Stock Appreciation RightF7 | $2.37 | holding | — | — | — | — | Mar 13, 2019 | Common Stock | 1,000 | 1,000 | D |
| Stock Settled Stock Appreciation RightF7 | $10.88 | holding | — | — | — | — | Mar 14, 2018 | Common Stock | 1,000 | 1,000 | D |
Explanation of responses
- F1Represents vesting of Dividend Equivalent Rights on 2015 Restricted Stock.
- F2Represents vesting of Dividend Equivalent Rights on 2016 Restricted Stock.
- F3Represents vesting of Dividend Equivalent Rights on 2014 Restricted Stock.
- 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.
- F6These dividend equivalent rights accrued on shares of restricted stock granted on March 12, 2014 and will vest as the underlying shares vest.
- F7Vests 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.