SEC Form 4 · accession 0001209191-17-054948
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, 2017
Accepted (ET)
Oct 3, 2017 · 3:35 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 | — | — | — | 67,657 | 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 2015 Restricted SharesF1 | — | Sep 30, 2017 | A | 21 | A | — | — | Common Stock | 21 | 259 | D |
| Dividend Equivalent Rights on 2016 Restricted SharesF2 | — | Sep 30, 2017 | A | 41 | A | — | — | Common Stock | 41 | 337 | D |
| Dividend Equivalent Rights on 2017 Restricted SharesF3 | — | Sep 30, 2017 | A | 60 | A | — | — | Common Stock | 60 | 200 | D |
| 2017 Restricted Stock UnitsF4,F5 | — | Sep 30, 2017 | A | 34 | A | — | — | Common Stock | 34 | 7,188 | D |
| 2016 Restricted Stock UnitsF4,F6 | — | Sep 30, 2017 | A | 20 | A | — | — | Common Stock | 20 | 4,235 | D |
Explanation of responses
- F1These dividend equivalent rights accrued on shares of restricted stock granted on March 10, 2015 and will vest as the underlying shares vest.
- F2These dividend equivalent rights accrued on shares of restricted stock granted on March 11, 2016 and will vest as the underlying shares vest.
- F3These dividend equivalent rights accrued on shares of restricted stock granted on March 13, 2017 and will vest as the underlying shares vest.
- F4Each restricted stock unit is equal to one share. These are dividend equivalent rights accruing on restricted stock units.
- F5The 2017 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (03/13/2017).
- F6The 2016 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (03/11/2016).