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