SEC Form 4 · accession 0001060435-16-000002
AMERICAN INDEPENDENCE CORP · AMIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Ronald I Simon
Director
Period of report
Jan 6, 2016
Accepted (ET)
Jan 7, 2016 · 3:11 pm EST
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 | Jan 6, 2016 | M | 6,667 | $11.00 | A | 16,668 | D | |
| Common Stock | Jan 6, 2016 | M | 1,111 | $7.01 | A | 10,001 | 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) | $11.00 | Jan 6, 2016 | M | 6,667 | D | Jun 14, 2013 | Jun 14, 2020 | Common Stock | 6,667 | 1,111 | D |
| Employee Stock Option (right to buy) | $7.01 | Jan 6, 2016 | M | 1,111 | D | Jun 12, 2015 | Jun 12, 2023 | Common Stock | 1,111 | 7,778 | D |