0001209191-11-038629.txt : 20110707
0001209191-11-038629.hdr.sgml : 20110707
20110707100615
ACCESSION NUMBER: 0001209191-11-038629
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20110701
FILED AS OF DATE: 20110707
DATE AS OF CHANGE: 20110707
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Short John G.
CENTRAL INDEX KEY: 0001507311
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35009
FILM NUMBER: 11955167
MAIL ADDRESS:
STREET 1: C/O FORTEGRA FINANCIAL CORPORATION
STREET 2: 100 WEST BAY STREET
CITY: JACKSONVILLE
STATE: FL
ZIP: 32202
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
0001507311
Short John G.
C/O FORTEGRA FINANCIAL CORPORATION
10151 DEERWOOD PRK BLVD BLDG 100 STE 330
JACKSONVILLE
FL
32256
0
1
0
0
EVP, President of Car Clubs
Common Stock, par value $0.01 per share
2011-07-01
4
A
0
1000
0.00
A
33949
D
Option, Right to Buy
7.84
2011-07-01
4
A
0
25000
0.00
A
2011-07-01
Common Stock
25000
25000
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 Romaine, Attorney In Fact
2011-07-06
EX-24.4_385550
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby constitutes and appoints
Christopher D. Romaine, General Counsel of Fortegra Financial Corporation (the
"Company") or such other person serving as General Counsel of the Company as the
undersigned's true and lawful attorney-in-fact to:
(a) execute for and on behalf of the undersigned, in the undersigned's capacity
as an officer and/or director of Company, Forms 10-K and 10-Q in accordance with
Section 13 or 15(d) of the Securities Exchange Act of 1934 and the rules
thereunder;
(b) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 10-K or
10-Q, complete and execute any amendment or amendments thereto, and timely file
such form with the United States Securities and Exchange Commission and any
stock exchange or similar authority; and
(c) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.
The undersigned hereby grants to such attorney-in-fact full power and authority
to do and perform any and every act and thing whatsoever requisite, necessary,
or proper to be done in the exercise of any of the rights and powers herein
granted, as fully to all intents and purposes as the undersigned might or could
do if personally present, with full power of substitution or revocation, hereby
ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorney-in-fact, in
serving in such capacity at the request of the undersigned, is not assuming, nor
is the Company assuming, any of the undersigned's responsibilities to comply
with Section 13 or 15(d) of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to execute Forms 10-K and 10-Q with respect to
the Company, unless earlier revoked by the undersigned in a signed writing
delivered to the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 7th day of June, 2011.
Signature
/s/ John G. Short
Name: John G. Short