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