0001140361-17-012340.txt : 20170316
0001140361-17-012340.hdr.sgml : 20170316
20170316161901
ACCESSION NUMBER: 0001140361-17-012340
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: WILCOX RICHARD W JR
CENTRAL INDEX KEY: 0001217930
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25001
FILM NUMBER: 17694806
MAIL ADDRESS:
STREET 1: 7220 SW 6 STREET
CITY: PLANTATION
STATE: FL
ZIP: 33317
4
1
doc1.xml
FORM 4
X0306
4
2017-03-14
0
0001069996
FEDERATED NATIONAL HOLDING CO
FNHC
0001217930
WILCOX RICHARD W JR
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
146418
D
Common Stock, par value $0.01 per share
2017-03-14
4
S
0
5000
18.22
D
141418
D
Common Stock, par value $0.01 per share
40000
I
Held by spouse
Common Stock, par value $0.01 per share
3000
I
Held by Richard W Wilcox IRA
Restricted stock award pursuant to the Issuer's 2012 Stock Incentive Plan.
1,047 restricted shares vested on 3/4/2017 and 1,912 restricted shares vested on 3/10/2017; therefore resulting from the vesting of 2,959 restricted shares and the grant of 3,289 restricted shares on 3/14/2017, a total of 12,419 of the reporting person's shares are restricted shares which are subject to vesting under the Issuer's 2012 Stock Incentive Plan.
The price reported in Column 4 is a weighted average price. These shares sold in multiple transactions at prices ranging from $18.19 to $18.2501, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price with the range set forth above.
/s/ Richard W. Wilcox, Jr.
2017-03-16