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