SEC Form 4 · accession 0001209191-19-019195
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 11, 2019
Accepted (ET)
Mar 13, 2019 · 5:10 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 11, 2019 | M | 298 | $0.00 | A | 81,062 | D | |
| Common StockF2 | Mar 11, 2019 | F | 1,087 | $3.85 | D | 79,975 | 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 2016 Restricted SharesF1,F3 | — | Mar 11, 2019 | M | 298 | D | — | — | Common Stock | 298 | 0 | D |
| Dividend Equivalent Rights on 2017 Restricted SharesF4 | — | holding | — | — | — | — | — | Common Stock | 386 | 386 | D |
| Dividend Equivalent Rights on 2018 Restricted SharesF5 | — | holding | — | — | — | — | — | Common Stock | 302 | 302 | D |
| 2018 Restricted Stock UnitsF6,F7 | — | holding | — | — | — | — | — | Common Stock | 4,025 | 4,025 | D |
| 2017 Restricted Stock UnitsF6,F8 | — | holding | — | — | — | — | — | Common Stock | 7,402 | 7,402 | D |
Explanation of responses
- F1Represents vesting of Dividend Equivalent Rights on 2016 Restricted Stock.
- F2This transaction represents shares withheld by the Company for tax withholdings on Ms. Campbell's vesting of 2016 Restricted Stock.
- F3These dividend equivalent rights accrued on shares of restricted stock granted on March 11, 2016 and will vest as the underlying shares vest.
- F4These dividend equivalent rights accrued on shares of restricted stock granted on March 13, 2017 and will vest as the underlying shares vest.
- F5These dividend equivalent rights accrued on shares of restricted stock granted on March 13, 2018 and will vest as the underlying shares vest.
- F6Each restricted stock unit is equal to one share. These are dividend equivalent rights accruing on restricted stock units.
- F7The 2018 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (03/13/2018).
- F8The 2017 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (03/13/2017).
Remarks
Exhibit List Exhibit 24 - Power of Attorney