0001140361-15-017689.txt : 20150505 0001140361-15-017689.hdr.sgml : 20150505 20150505161740 ACCESSION NUMBER: 0001140361-15-017689 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150504 FILED AS OF DATE: 20150505 DATE AS OF CHANGE: 20150505 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: 15833202 MAIL ADDRESS: STREET 1: 7220 SW 6 STREET CITY: PLANTATION STATE: FL ZIP: 33317 4 1 doc1.xml FORM 4 X0306 4 2015-05-04 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 2015-05-04 4 M 0 5000 4.40 A 139476 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 2015-05-04 4 M 0 5000 4.40 A 2013-04-06 2022-04-06 Common Stock, par value $0.01 per share 5000 0 D A total of 15,511 of the reporting person's shares are restricted shares which are subject to vesting under the Issuer's 2012 Stock Incentive Plan. The options vested 33 1/3% per year. /s/ Richard W. Wilcox, Jr. 2015-05-05