0001140361-12-051442.txt : 20121217
0001140361-12-051442.hdr.sgml : 20121217
20121217143640
ACCESSION NUMBER: 0001140361-12-051442
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121213
FILED AS OF DATE: 20121217
DATE AS OF CHANGE: 20121217
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SIMBERG BRUCE
CENTRAL INDEX KEY: 0001188652
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25001
FILM NUMBER: 121268332
MAIL ADDRESS:
STREET 1: 3440 HOLLYWOOD BLVD 2ND FL
CITY: HOLLYWOOD
STATE: FL
ZIP: 33021
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FEDERATED NATIONAL 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: 9545819993
MAIL ADDRESS:
STREET 1: 14050 NW 14 STREET
STREET 2: SUITE 180
CITY: SUNRISE
STATE: FL
ZIP: 33323
FORMER COMPANY:
FORMER CONFORMED NAME: 21ST CENTURY HOLDING CO
DATE OF NAME CHANGE: 19980909
4
1
doc1.xml
FORM 4
X0306
4
2012-12-13
0
0001069996
FEDERATED NATIONAL HOLDING CO
FNHC
0001188652
SIMBERG BRUCE
14050 N.W. 14 STREET
SUITE 180
SUNRISE
FL
33323
1
0
0
1
Chairman of the Board
Common Stock
2012-09-11
4
P
0
130
6.10
A
304865
D
Common Stock
2012-12-13
4
P
0
600
5.35
A
305465
D
Common Stock
2012-12-13
4
P
0
1000
5.495
A
306465
D
Common Stock
2012-12-13
4
P
0
4000
5.4999
A
310465
D
Common Stock
2012-12-13
4
P
0
402
5.50
A
310867
D
Common Stock
2012-12-13
4
P
0
400
5.5192
A
311267
D
Common Stock
2012-12-13
4
P
0
1000
5.5199
A
312267
D
Common Stock
2012-12-13
4
P
0
1000
5.5299
A
313267
D
Common Stock
2012-12-13
4
P
0
400
5.53
A
313667
D
Common Stock
2012-12-13
4
P
0
100
5.54
A
313767
D
Common Stock
2012-12-13
4
P
0
100
5.588
A
313867
D
Common Stock
2012-12-13
4
P
0
100
5.5999
A
313967
D
Common Stock
2012-12-13
4
P
0
100
5.60
A
314067
D
Common Stock
2012-12-14
4
P
0
1000
5.55
A
315067
D
Common Stock
2012-12-14
4
P
0
2500
5.60
A
317567
D
Common Stock
2012-12-14
4
P
0
2200
5.61
A
319767
D
Common Stock
2012-12-14
4
P
0
1000
5.63
A
320767
D
Common Stock
2012-12-14
4
P
0
416
5.6324
A
321183
D
Options
13.17
2008-12-06
2013-12-06
Common Stock
500
500
D
Options
12.58
2009-01-30
2014-01-30
Common Stock
4500
4500
D
Options
4.73
2010-01-02
2019-01-02
Common Stock
25000
25000
D
Options
2.45
2012-08-22
2021-08-22
Common Stock
10000
10000
D
Options
4.40
2013-04-06
2022-04-06
Common Stock
15000
15000
D
The purchase of the 130 shares of common stock on 9/11/2012 was inadvertently not reported at the time of purchase due to error.
The options vest 20% per year.
The options vest 33 1/3% per year.
/s/ Bruce F. Simberg
2012-12-17