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