0001140361-12-052803.txt : 20121227 0001140361-12-052803.hdr.sgml : 20121227 20121227134859 ACCESSION NUMBER: 0001140361-12-052803 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121227 FILED AS OF DATE: 20121227 DATE AS OF CHANGE: 20121227 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WILCOX RICHARD W JR CENTRAL INDEX KEY: 0001217930 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25001 FILM NUMBER: 121287090 MAIL ADDRESS: STREET 1: 7220 SW 6 STREET CITY: PLANTATION STATE: FL ZIP: 33317 4 1 doc1.xml FORM 4 X0306 4 2012-12-27 0 0001069996 FEDERATED NATIONAL HOLDING CO FNHC 0001217930 WILCOX RICHARD W JR 14050 N.W. 14 STREET SUITE 180 SUNRISE FL 33323 1 0 0 0 Common Stock 2012-12-27 4 X 0 15000 4.73 A 90250 D Common Stock 2012-12-27 4 X 0 3334 2.45 A 93584 D Common Stock 40000 I Held by spouse Common Stock 3000 I Held by Richard W Wilcox IRA Options 4.73 2012-12-27 4 X 0 15000 4.73 A 2010-01-02 2019-01-02 Common Stock 15000 0 D Options 2.45 2012-12-27 4 X 0 3334 2.45 A 2012-08-22 2021-08-22 Common Stock 3334 6666 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 4.40 2013-04-06 2022-04-06 Common Stock 15000 15000 D The options vest 20% per year. The options vest 33 1/3% per year. /s/ Richard W. Wilcox, Jr. 2012-12-27