0001140361-14-004038.txt : 20140131
0001140361-14-004038.hdr.sgml : 20140131
20140131164555
ACCESSION NUMBER: 0001140361-14-004038
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140129
FILED AS OF DATE: 20140131
DATE AS OF CHANGE: 20140131
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: DORF CARL
CENTRAL INDEX KEY: 0001186092
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25001
FILM NUMBER: 14565313
MAIL ADDRESS:
STREET 1: 7343 WEST PERSHING AVENUE
CITY: PEORIA
STATE: AZ
ZIP: 85387
4
1
doc1.xml
FORM 4
X0306
4
2014-01-29
0
0001069996
FEDERATED NATIONAL HOLDING CO
FNHC
0001186092
DORF CARL
14050 N.W. 14 STREET
SUITE 180
SUNRISE
FL
33323
1
0
0
0
Common Stock, par value $0.01 per share
2014-01-29
4
M
0
4500
12.58
A
67991
I
Held by Dorf Trust
Common Stock, par value $j0.01 per share
59624
I
Held by Carl Dorf Rollover IRA
Common Stock, par value $0.01 per share
5500
D
Stock Options (right to buy)
12.58
2014-01-29
4
M
0
4500
12.58
A
2009-01-30
2014-01-30
Common Stock, par value $0.01 per share
4500
0
D
Stock Options (right to buy)
4.73
2010-01-02
2019-01-02
Common Stock, par value $0.01 per share
15000
15000
D
Stock Options (right to buy)
2.45
2012-08-22
2021-08-22
Common Stock, par value $0.01 per share
10000
10000
D
Stock Options (right to buy)
4.40
2013-04-06
2022-04-06
Common Stock, par value $0.01 per share
15000
15000
D
4000 of the total shares are restricted shares subject to vesting under the Issuer's 2012 Stock Incentive Plan.
Stock options vest 33 1/3% per year.
/s/ Carl Dorf
2014-01-30