0001140361-16-057650.txt : 20160314 0001140361-16-057650.hdr.sgml : 20160314 20160314163515 ACCESSION NUMBER: 0001140361-16-057650 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: SIMBERG BRUCE CENTRAL INDEX KEY: 0001188652 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25001 FILM NUMBER: 161504261 MAIL ADDRESS: STREET 1: 3440 HOLLYWOOD BLVD 2ND FL CITY: HOLLYWOOD STATE: FL ZIP: 33021 4 1 doc1.xml FORM 4 X0306 4 2016-03-10 0 0001069996 FEDERATED NATIONAL HOLDING CO FNHC 0001188652 SIMBERG BRUCE 14050 N.W. 14 STREET SUITE 180 SUNRISE FL 33323 1 0 0 1 Chairman of the Board Common Stock, par value $0.01 per share 2016-03-10 4 A 0 3653 A 499018 D Restricted stock award pursuant to the Issuer's 2012 Stock Incentive Plan. A total of 3,653 of the Reporting Person's shares are subject to vesting under the Issuer's 2012 Stock Incentive Plan. /s/ Bruce F. Simberg 2016-03-14