SEC Form 4 · accession 0001209191-18-019346
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
Mar 10, 2018
Accepted (ET)
Mar 13, 2018 · 5:54 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, 2018 | M | 284 | $0.00 | A | 67,941 | D | |
| Common StockF2 | Mar 10, 2018 | F | 1,083 | $8.29 | D | 66,858 | D | |
| Common StockF3 | Mar 11, 2018 | M | 192 | $0.00 | A | 67,050 | D | |
| Common StockF4 | Mar 11, 2018 | F | 1,061 | $8.29 | D | 65,989 | D | |
| Common StockF5 | Mar 11, 2018 | M | 4,258 | $0.00 | A | 70,247 | D | |
| Common StockF6 | Mar 11, 2018 | F | 1,037 | $8.29 | D | 69,210 | 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,F7 | — | Mar 10, 2018 | M | 284 | D | — | — | Common Stock | 284 | 0 | D |
| Dividend Equivalent Rights on 2016 Restricted SharesF3,F8 | — | Mar 11, 2018 | M | 192 | D | — | — | Common Stock | 192 | 193 | D |
| 2016 Restricted Stock UnitsF11,F9,F10 | — | Mar 11, 2018 | M | 4,258 | D | — | — | Common Stock | 4,258 | 0 | D |
| Dividend Equivalent Rights on 2017 Restricted SharesF12 | — | holding | — | — | — | — | — | Common Stock | 270 | 270 | D |
| 2017 Restricted Stock UnitsF9,F13 | — | holding | — | — | — | — | — | Common Stock | 7,228 | 7,228 | 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, 4,258.48 of the reporting person's Restricted Stock Units were settled for 4,258 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 their original Grant Date (03/13/2017).
- F2This transaction represents shares withheld by the Company for tax withholdings on Ms. Campbell'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 Ms. Campbell'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 Ms. Campbell'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