SEC Form 4 · accession 0001060435-15-000001
AMERICAN INDEPENDENCE CORP · AMIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ronald I Simon
Director
Period of report
Aug 27, 2015
Accepted (ET)
Aug 27, 2015 · 4:06 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000097196
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Aug 27, 2015 | M | 4,445 | $4.60 | A | 4,445 | D | |
| Common Stock | Aug 27, 2015 | M | 4,445 | $7.01 | A | 8,890 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy) | $4.60 | Aug 27, 2015 | M | 4,445 | D | Jun 14, 2013 | Jun 14, 2020 | Common Stock | 4,445 | 15,557 | D |
| Employee Stock Option (right to buy) | $7.01 | Aug 27, 2015 | M | 4,445 | D | Jun 12, 2015 | Jun 12, 2023 | Common Stock | 4,445 | 11,112 | D |