SEC Form 4 · accession 0001209191-18-019354

Diversicare Healthcare Services, Inc. · DVCR

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

Reporting owner

Director

Period of report

Mar 10, 2018

Accepted (ET)

Mar 13, 2018 · 5:57 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^F1	Mar 10, 2018	M	9	$0.00	A	44,269	D
Common Stock^F2	Mar 11, 2018	M	30	$0.00	A	44,299	D
Common Stock^F3	holding	—	—		—	250	I	Held in Grandson's Trust
Common Stock	holding	—	—		—	1,450	I	Spouse
Common Stock	holding	—	—		—	1,000	I	Held In Spouse's IRA

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,F4	—	Mar 10, 2018	M	9	D	—	—	Common Stock	9	0	D
Dividend Equivalent Rights on 2016 Restricted Shares^F2,F5	—	Mar 11, 2018	M	30	D	—	—	Common Stock	30	32	D
Dividend Equivalent Rights on 2017 Restricted Shares^F6	—	holding	—	—	—	—	—	Common Stock	43	43	D
Stock Settled Stock Appreciation Right^F7	$10.88	holding	—	—	—	—	Mar 14, 2018	Common Stock	1,000	1,000	D

F1Represents vesting of Dividend Equivalent Rights on 2015 Restricted Stock.
F2Represents vesting of Dividend Equivalent Rights on 2016 Restricted Stock.
F3The Reporting Person is the trustee of a trust holding 250 shares of common stock for the benefit of his grandson and may therefore be deemed to be the beneficial owner of the shares of common stock held by this trust. However, the Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein.
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 13, 2017 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.

Exhibit List Exhibit 24 - Power of Attorney