-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Re3/Vooo8hy4qXelgEzL2dkr/0oqcHvWhYQ+eRRIpwCABXipYSqChcNsFvU545sy p9EAhncThkGwOWMK1f1X1w== 0001140361-10-050574.txt : 20101220 0001140361-10-050574.hdr.sgml : 20101220 20101220213539 ACCESSION NUMBER: 0001140361-10-050574 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101216 FILED AS OF DATE: 20101220 DATE AS OF CHANGE: 20101220 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rollins Ted W CENTRAL INDEX KEY: 0001500327 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35009 FILM NUMBER: 101264146 MAIL ADDRESS: STREET 1: 2100 REXFORD ROAD STREET 2: SUITE 414 CITY: CHARLOTTE STATE: NC ZIP: 28211 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fortegra Financial Corp CENTRAL INDEX KEY: 0001495925 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 581461399 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 WEST BAY STREET CITY: JACKSONVILLE STATE: FL ZIP: 32202 BUSINESS PHONE: 800-888-2738 MAIL ADDRESS: STREET 1: 100 WEST BAY STREET CITY: JACKSONVILLE STATE: FL ZIP: 32202 4 1 doc1.xml FORM 4 X0303 4 2010-12-16 0 0001495925 Fortegra Financial Corp FRF 0001500327 Rollins Ted W C/O FORTEGRA FINANCIAL CORPORATION 100 WEST BAY STREET JACKSONVILLE FL 32202 1 0 0 0 Common Stock, par value $0.01 per share 2010-12-16 4 A 0 15000 0 A 15000 D /s/ John G. Short, Attorney-in-Fact 2010-12-20 -----END PRIVACY-ENHANCED MESSAGE-----