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