0001495925-12-000057.txt : 20120702
0001495925-12-000057.hdr.sgml : 20120702
20120702131942
ACCESSION NUMBER: 0001495925-12-000057
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120701
FILED AS OF DATE: 20120702
DATE AS OF CHANGE: 20120702
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: 12939530
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
edgar.xml
PRIMARY DOCUMENT
X0306
4
2012-07-01
0001495925
Fortegra Financial Corp
FRF
0001522771
Romaine Christopher D
C/O FORTEGRA FINANCIAL CORPORATION
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
2012-07-01
4
A
0
2500
0
A
4866
D
Option, Right to Buy
8.00
2012-07-01
4
A
0
15000
0
A
2022-07-01
Common Stock
15000
15000
D
Includes 1,366 shares acquired under the Company's Employee Stock Purchase Plan in January 2012.
Of these options, which are exempt under Rule 16b-3(d), one-third vest when the Compensation Committe of the Board determines that the Company has achieved annual Adjusted EBITDA of $46,000,000 and the remainder vest ratably on each of the two anniversaries of such determination.
Christopher D. Romaine
2012-07-02