SEC Form 4/A · accession 0001144204-16-074934
AMERICAN INDEPENDENCE CORP · AMIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Ronald I Simon
Director
Period of report
Jan 6, 2016
Accepted (ET)
Jan 8, 2016 · 5:24 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 StockF1 | Jan 6, 2016 | M | 6,667 | $11.00 | A | 15,557 | D | |
| Common StockF1 | Jan 6, 2016 | M | 1,111 | $7.01 | A | 16,668 | 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 Options (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 Options (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 |
Explanation of responses
- F1Corrects a typographical error in the aggregate number of shares reported for this entry on the reporting person's Form 4 filed on January 7, 2016.