SEC Form 4 · accession 0001209191-17-043189
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, 2017
Accepted (ET)
Jul 5, 2017 · 3:51 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 | — | — | — | 5,016 | 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 SharesF1 | — | Jun 30, 2017 | A | 8 | A | — | — | Common Stock | 8 | 47 | D |
| Dividend Equivalent Rights on 2017 Restricted SharesF2 | — | Jun 30, 2017 | A | 12 | A | — | — | Common Stock | 12 | 22 | D |
| Option to purchase Common Stock | $10.21 | holding | — | — | — | Oct 6, 2015 | Oct 6, 2025 | Common Stock | 15,000 | 15,000 | D |
Explanation of responses
- F1These dividend equivalent rights accrued on shares of restricted stock granted on March 11, 2016 and will vest as the underlying shares vest.
- F2These dividend equivalent rights accrued on shares of restricted stock granted on March 13, 2017 and will vest as the underlying shares vest.