0001140361-15-014647.txt : 20150407 0001140361-15-014647.hdr.sgml : 20150407 20150407171256 ACCESSION NUMBER: 0001140361-15-014647 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150406 FILED AS OF DATE: 20150407 DATE AS OF CHANGE: 20150407 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: SIMBERG BRUCE CENTRAL INDEX KEY: 0001188652 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25001 FILM NUMBER: 15757444 MAIL ADDRESS: STREET 1: 3440 HOLLYWOOD BLVD 2ND FL CITY: HOLLYWOOD STATE: FL ZIP: 33021 4 1 doc1.xml FORM 4 X0306 4 2015-04-06 1 0001069996 FEDERATED NATIONAL HOLDING CO FNHC 0001188652 SIMBERG BRUCE 14050 N.W. 14 STREET SUITE 180 SUNRISE FL 33323 0 0 0 1 Former Director/Chairman Common Stock, par value $0.01 per share 2015-04-06 4 M 0 5000 4.40 A 488365 D Stock Options (right to buy) 4.40 2015-04-06 4 M 0 5000 4.40 A 2013-04-06 2022-04-06 Common Stock, par value $0.01 per share 5000 0 D The Reporting Person resigned from the Issuer's Board of Directors, effective March 4, 2015. /s/ Bruce F. Simberg 2015-04-07