SEC Form 4 · accession 0001209191-19-019197

Diversicare Healthcare Services, Inc. · DVCR

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

Reporting owner

Director

Period of report

Mar 11, 2019

Accepted (ET)

Mar 13, 2019 · 5:12 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 11, 2019	M	49	$0.00	A	44,147	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Dividend Equivalent Rights on 2016 Restricted Shares^F1,F2	—	Mar 11, 2019	M	49	D	—	—	Common Stock	49	0	D
Dividend Equivalent Rights on 2017 Restricted Shares^F3	—	holding	—	—	—	—	—	Common Stock	61	61	D
Dividend Equivalent Rights on 2018 Restricted Shares^F4	—	holding	—	—	—	—	—	Common Stock	57	57	D
Stock Settled Stock Appreciation Right^F5	$5.45	holding	—	—	—	—	Jun 18, 2020	Common Stock	1,000	1,000	D
Stock Settled Stock Appreciation Right^F5	$2.37	holding	—	—	—	—	Mar 13, 2019	Common Stock	1,000	1,000	D

F1Represents vesting of Dividend Equivalent Rights on 2016 Restricted Stock.
F2These dividend equivalent rights accrued on shares of restricted stock granted on March 11, 2016 and will vest as the underlying shares vest.
F3These dividend equivalent rights accrued on shares of restricted stock granted on March 13, 2017 and will vest as the underlying shares vest.
F4These dividend equivalent rights accrued on shares of restricted stock granted on March 13, 2018 and will vest as the underlying shares vest.
F5Vests 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