0001140361-14-011448.txt : 20140306 0001140361-14-011448.hdr.sgml : 20140306 20140306162715 ACCESSION NUMBER: 0001140361-14-011448 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140304 FILED AS OF DATE: 20140306 DATE AS OF CHANGE: 20140306 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: 14673362 MAIL ADDRESS: STREET 1: 7343 WEST PERSHING AVENUE CITY: PEORIA STATE: AZ ZIP: 85387 4 1 doc1.xml FORM 4 X0306 4 2014-03-04 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 2014-03-04 4 A 0 3142 A 11642 D Common Stock, par value $0.01 per share 64991 I Held by Dorf Trust Common Stock, par value $j0.01 per share 59624 I Held by Carl Dorf Rollover IRA 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 Restricted stock award pursuant to the Issuer's 2012 Stock Incentive Plan. 1334 restricted shares vested on 3/4/2014; therefore, resulting from the vesting of 1,334 restricted shares following the restricted stock grant on 3/4/2014, a total of 5,808 of the Reporting Person's shares are subject to vesting. The total also includes 4,500 shares previously reported as indirectly owned by Dorf Trust and does not include 1,500 shares previously reported as directly owned which are now reported as indirectly owned by Dorf Trust. Includes 1,500 shares previously reported as directly owned and does not include 4,500 shares which were previously reported as owned by Dorf Trust, which are now reported as directly owned. Stock options vest 33 1/3% per year. /s/ Carl Dorf 2014-03-06