0001140361-17-016139.txt : 20170419
0001140361-17-016139.hdr.sgml : 20170419
20170419112353
ACCESSION NUMBER: 0001140361-17-016139
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170417
FILED AS OF DATE: 20170419
DATE AS OF CHANGE: 20170419
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: Jordan Ronald Arthur
CENTRAL INDEX KEY: 0001704133
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25001
FILM NUMBER: 17769198
MAIL ADDRESS:
STREET 1: 5817 CRUTCHFIELD FARM RD
CITY: OAK RIDGE
STATE: NC
ZIP: 27310
3
1
doc1.xml
FORM 3
X0206
3
2017-04-17
0
0001069996
FEDERATED NATIONAL HOLDING CO
FNHC
0001704133
Jordan Ronald Arthur
14050 N.W. 14 STREET
SUITE 180
SUNRISE
FL
33323
0
1
0
0
Chief Financial Officer
Common Stock, par value $0.01 per share
0
D
The Reporting Person does not currently own, directly or indirectly, any securities of the Issuer.
/s/ Ronald A. Jordan
2017-04-19