0001140361-14-035341.txt : 20140911
0001140361-14-035341.hdr.sgml : 20140911
20140911160803
ACCESSION NUMBER: 0001140361-14-035341
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140909
FILED AS OF DATE: 20140911
DATE AS OF CHANGE: 20140911
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: 141098269
MAIL ADDRESS:
STREET 1: 7220 SW 6 STREET
CITY: PLANTATION
STATE: FL
ZIP: 33317
4
1
doc1.xml
FORM 4
X0306
4
2014-09-09
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, par value $0.01 per share
2014-09-09
4
A
0
10000
A
129059
D
Common Stock, par value $0.01 per share
40000
I
Held by spouse
Common Stock, par value $0.01 per share
3000
I
Held by Richard W Wilcox IRA
Stock Options (right to buy)
4.40
2013-04-06
2022-04-06
Common Stock, par value $0.01 per share
5000
5000
D
Stock Options (right to buy)
2.45
2012-08-22
2021-08-22
Common Stock, par value $0.01 per share
3333
3333
D
Restricted stock award pursuant to the Issuer's 2012 Stock Incentive Plan.
A total of 15,808 of the reporting person's shares are restricted shares which are subject to vesting under the Issuer's 2012 Stock Incentive Plan.
The options vest 33 1/3% per year.
/s/ Richard W. Wilcox, Jr.
2014-09-11