SEC Form 4 · accession 0001209191-18-019343

Diversicare Healthcare Services, Inc. · DVCR

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Kelly J. Gill

Officer — CEO & President · Director

Period of report

Mar 10, 2018

Accepted (ET)

Mar 13, 2018 · 5:52 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
Common Stock^F1	Mar 10, 2018	M	568	$0.00	A	230,717	D
Common Stock^F2	Mar 10, 2018	F	2,167	$8.29	D	228,550	D
Common Stock^F3	Mar 11, 2018	M	384	$0.00	A	228,934	D
Common Stock^F4	Mar 11, 2018	F	2,122	$8.29	D	226,812	D
Common Stock^F5	Mar 11, 2018	M	6,452	$0.00	A	233,264	D
Common Stock^F6	Mar 11, 2018	F	1,571	$8.29	D	231,693	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 Shares^F1,F7	—	Mar 10, 2018	M	568	D	—	—	Common Stock	568	0	D
Dividend Equivalent Rights on 2016 Restricted Shares^F3,F8	—	Mar 11, 2018	M	384	D	—	—	Common Stock	384	386	D
2016 Restricted Stock Units^F11,F9,F10	—	Mar 11, 2018	M	6,452	D	—	—	Common Stock	6,452	0	D
Dividend Equivalent Rights on 2017 Restricted Shares^F12	—	holding	—	—	—	—	—	Common Stock	540	540	D
2017 Restricted Stock Units^F9,F13	—	holding	—	—	—	—	—	Common Stock	10,951	10,951	D
Stock Options (right to buy)^F14	$5.60	holding	—	—	—	Nov 10, 2011	Nov 10, 2021	Common Stock	50,000	50,000	D
Stock Settled Stock Appreciation Right^F14	$6.21	holding	—	—	—	Apr 5, 2010	Apr 5, 2020	Common Stock	35,000	35,000	D
Stock Settled Stock Appreciation Right^F14	$5.45	holding	—	—	—	Jun 18, 2010	Jun 18, 2020	Common Stock	15,000	15,000	D

Explanation of responses

F1Represents vesting of Dividend Equivalent Rights on 2015 Restricted Stock.
F10The 2016 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (03/11/2016).
F11Each Restricted Stock Unit was the economic equivalent of one share of common stock. On March 11,2018, 6,452.22 of the reporting person's Restricted Stock Units were settled for 6,452 shares of common stock.
F12These dividend equivalent rights accrued on shares of restricted stock granted on March 13, 2017 and will vest as the underlying shares vest.
F13The 2017 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of the original Grant Date (03/13/2017).
F14Vests 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.
F2This transaction represents shares withheld by the Company for tax withholdings on Mr. Gill's vesting of 2015 Restricted Stock.
F3Represents vesting of Dividend Equivalent Rights on 2016 Restricted Stock.
F4This transaction represents shares withheld by the Company for tax withholdings on Mr. Gill's vesting of 2016 Restricted Stock.
F5Represents vesting of 2016 Restricted Stock Units.
F6This transaction represents shares withheld by the Company to cover the tax withholding on Mr. Gill's settlement of 2016 Restricted Stock Units.
F7These dividend equivalent rights accrued on shares of restricted stock granted on March 10, 2015 and will vest as the underlying shares vest.
F8These dividend equivalent rights accrued on shares of restricted stock granted on March 11, 2016 and will vest as the underlying shares vest.
F9Each Restricted Stock Unit is equal to one share. These are dividend equivalent rights accruing on restricted stock units.

Remarks

Exhibit List Exhibit 24 - Power of Attorney