0001209191-11-038626.txt : 20110707 0001209191-11-038626.hdr.sgml : 20110707 20110707100250 ACCESSION NUMBER: 0001209191-11-038626 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110701 FILED AS OF DATE: 20110707 DATE AS OF CHANGE: 20110707 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Romaine Christopher D CENTRAL INDEX KEY: 0001522771 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35009 FILM NUMBER: 11955158 MAIL ADDRESS: STREET 1: 10501 DEERWOOD PARK BLVD, BLDG 100 CITY: JACKSONVILLE STATE: FL ZIP: 32256 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: 10151 DEERWOOD PARK BOULEVARD, BLD 100 CITY: JACKSONVILLE STATE: FL ZIP: 32256 BUSINESS PHONE: 800-888-2738 MAIL ADDRESS: STREET 1: 10151 DEERWOOD PARK BOULEVARD, BLD 100 CITY: JACKSONVILLE STATE: FL ZIP: 32256 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2011-07-01 0 0001495925 Fortegra Financial Corp FRF 0001522771 Romaine Christopher D 10151 DEERWOOD PARK BLVD. BLDG. 100 JACKSONVILLE FL 32256 0 1 0 0 SVP, Gen. Counsel, Secretary, Common Stock, par value $0.01 per share 2011-07-01 4 A 0 1000 0.00 A 1000 D Option, Right to Buy 7.84 2011-07-01 4 A 0 10000 0.00 A 2021-07-01 Common Stock 10000 10000 D These options, which are exempt under Rule 16b-3(d), vest ratably over four years on each anniversary of the grant date. /s/ Christopher D. Romaine 2011-07-01