0001140361-16-057642.txt : 20160314 0001140361-16-057642.hdr.sgml : 20160314 20160314162654 ACCESSION NUMBER: 0001140361-16-057642 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160310 FILED AS OF DATE: 20160314 DATE AS OF CHANGE: 20160314 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25001 FILM NUMBER: 161504167 MAIL ADDRESS: STREET 1: 466 ROLLING ROAD CITY: ROSEMONT STATE: PA ZIP: 19010 4 1 doc1.xml FORM 4 X0306 4 2016-03-10 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 2016-03-10 4 A 0 8872 A 8872 D Restricted stock award pursuant to the Issuer's 2012 Stock Incentive Plan, 3,653 shares of which vest over 3 years and 5,129 shares of which vest over 5 years. A total of 8,872 of the Reporting Person's shares are subject to vesting under the Issuer's 2012 Stock Incentive Plan. /s/ Thomas A. Rogers 2016-03-14