0001140361-15-037578.txt : 20151014
0001140361-15-037578.hdr.sgml : 20151014
20151014093838
ACCESSION NUMBER: 0001140361-15-037578
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151001
FILED AS OF DATE: 20151014
DATE AS OF CHANGE: 20151014
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: Rogers Thomas Alexander
CENTRAL INDEX KEY: 0001655492
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25001
FILM NUMBER: 151157436
MAIL ADDRESS:
STREET 1: 466 ROLLING ROAD
CITY: ROSEMONT
STATE: PA
ZIP: 19010
3
1
doc1.xml
FORM 3
X0206
3
2015-10-01
0
0001069996
FEDERATED NATIONAL HOLDING CO
FNHC
0001655492
Rogers Thomas Alexander
14050 N.W. 14 STREET
SUITE 180
SUNRISE
FL
33323
1
0
0
0
Common Stock, par value $0.01 per share
0
D
The Reporting Person does not currently own, directly or indirectly, any securities of the Issuer.
/s/ Thomas A. Rogers
2015-10-13