0001140361-17-012326.txt : 20170316 0001140361-17-012326.hdr.sgml : 20170316 20170316160731 ACCESSION NUMBER: 0001140361-17-012326 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170314 FILED AS OF DATE: 20170316 DATE AS OF CHANGE: 20170316 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: Braun Michael H CENTRAL INDEX KEY: 0001347447 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25001 FILM NUMBER: 17694540 MAIL ADDRESS: STREET 1: P.O. BOX 407193 CITY: FORT LAUDERDALE STATE: FL ZIP: 33340 4 1 doc1.xml FORM 4 X0306 4 2017-03-14 0 0001069996 FEDERATED NATIONAL HOLDING CO FNHC 0001347447 Braun Michael H 14050 N.W. 14 STREET SUITE 180 SUNRISE FL 33323 1 1 0 0 Chief Executive Officer & Pres Common Stock, par value $0.01 per share 2017-03-14 4 A 0 68530 A 527020 D Performance shares subject to performance-based vesting granted under the Issuer's 2012 Stock Incentive Plan (the "Plan"), which will vest up to 100% if certain performance goals are met over one- and three-year periods beginning March 14, 2017. Reflects (i) 298,439 fully vested shares or shares previously acquired by the Reporting Person; (ii) 68,530 performance shares granted under the Plan, which vest up to 100% if certain performance goals are met over one- and three-year periods beginning March 14, 2017; and (iii) 160,051 restricted shares granted under the Plan which vest on various dates ranging from March 5, 2017 to December 9, 2019 and at vesting percentages of 33 1/3% or 20%. /s/ Michael H. Braun 2017-03-16