0001140361-17-012332.txt : 20170316 0001140361-17-012332.hdr.sgml : 20170316 20170316161247 ACCESSION NUMBER: 0001140361-17-012332 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: Rogers Thomas Alexander CENTRAL INDEX KEY: 0001655492 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25001 FILM NUMBER: 17694600 MAIL ADDRESS: STREET 1: 466 ROLLING ROAD CITY: ROSEMONT STATE: PA ZIP: 19010 4 1 doc1.xml FORM 4 X0306 4 2017-03-14 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 2017-03-14 4 A 0 3289 A 12161 D Restricted stock award pursuant to the Issuer's 2012 Stock Incentive Plan. 2,261 restricted shares vested on 3/10/2017; therefore resulting from the vesting of 2,261 restricted shares and the grant of 3,289 restricted shares on 3/14/2017, a total of 9,900 of the Reporting Person's shares are subject to vesting under the Issuer's 2012 Stock Incentive Plan. /s/ Thomas A. Rogers 2017-03-16