0001069996-21-000067.txt : 20210402
0001069996-21-000067.hdr.sgml : 20210402
20210402161959
ACCESSION NUMBER: 0001069996-21-000067
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210331
FILED AS OF DATE: 20210402
DATE AS OF CHANGE: 20210402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: McCahill Patrick
CENTRAL INDEX KEY: 0001822628
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25001
FILM NUMBER: 21802200
MAIL ADDRESS:
STREET 1: 14050 NW 14TH STREET
STREET 2: SUITE 180
CITY: SUNRISE
STATE: FL
ZIP: 33323
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FedNat Holding Co
CENTRAL INDEX KEY: 0001069996
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
IRS NUMBER: 650248866
STATE OF INCORPORATION: FL
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 14050 NW 14 STREET
STREET 2: SUITE 180
CITY: SUNRISE
STATE: FL
ZIP: 33323
BUSINESS PHONE: 8002932532
MAIL ADDRESS:
STREET 1: 14050 NW 14 STREET
STREET 2: SUITE 180
CITY: SUNRISE
STATE: FL
ZIP: 33323
FORMER COMPANY:
FORMER CONFORMED NAME: FEDNAT HOLDING Co
DATE OF NAME CHANGE: 20180605
FORMER COMPANY:
FORMER CONFORMED NAME: FEDERATED NATIONAL HOLDING Co
DATE OF NAME CHANGE: 20171221
FORMER COMPANY:
FORMER CONFORMED NAME: FEDERATED NATIONAL HOLDING CO
DATE OF NAME CHANGE: 20120912
4
1
wf-form4_161739474730425.xml
FORM 4
X0306
4
2021-03-31
0
0001069996
FedNat Holding Co
FNHC
0001822628
McCahill Patrick
14050 N.W. 14TH STREET
SUITE 180
SUNRISE
FL
33323
0
1
0
0
Chief Operating Officer
Common Stock, par value $0.01
2021-03-31
4
A
0
24272
0
A
26772
D
Comprised of 21,772 performance-based shares held in escrow which may be earned providing certain financial metrics are achieved during 2021, 2022 and 2023, and 2,500 time-based shares, granted under the Issuer's 2018 Omnibus Incentive Compensation Plan.
Includes unvested restricted shares of which 21,772 are performance-based and are subject to forfeiture if related financial goals are not met.
/s/ Patrick S. McCahill
2021-04-02