SEC Form 4 · accession 0001209191-18-053312
Diversicare Healthcare Services, Inc. · DVCR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ben R Leedle Jr.
Director
Period of report
Sep 30, 2018
Accepted (ET)
Oct 2, 2018 · 5:26 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 | — | — | — | 2,000 | 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 2018 Restricted SharesF1 | — | Sep 30, 2018 | A | 17 | A | — | — | Common Stock | 17 | 48 | D |
| Option to purchase Common StockF2 | $8.14 | holding | — | — | — | Mar 13, 2018 | Mar 13, 2028 | Common Stock | 15,000 | 15,000 | D |
Explanation of responses
- F1These dividend equivalent rights accrued on shares of restricted stock granted on March 13, 2018 and will vest as the underlying shares vest.
- F25,000 vest on the date of grant, 5,000 vest on March 13, 2019 and 5,000 vest on March 13, 2020.
Remarks
Exhibit List: Exhibit 24 - Power of Attorney