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