0001522771-13-000005.txt : 20130903 0001522771-13-000005.hdr.sgml : 20130902 20130903170934 ACCESSION NUMBER: 0001522771-13-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130901 FILED AS OF DATE: 20130903 DATE AS OF CHANGE: 20130903 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 BLVD STREET 2: BLDG. 100, STE. 330 CITY: JACKSONVILLE STATE: FL ZIP: 32256 BUSINESS PHONE: 904-416-1539 MAIL ADDRESS: STREET 1: 10151 DEERWOOD PARK BLVD STREET 2: BLDG. 100, STE. 330 CITY: JACKSONVILLE STATE: FL ZIP: 32256 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: 131075682 MAIL ADDRESS: STREET 1: 10501 DEERWOOD PARK BLVD STREET 2: BLDG. 100, STE. 330 CITY: JACKSONVILLE STATE: FL ZIP: 32256 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2013-09-01 0001495925 Fortegra Financial Corp FRF 0001522771 Romaine Christopher D C/O FORTEGRA FINANCIAL CORPORATION 10151 DEERWOOD PK BLVD BLDG 100 STE 330 JACKSONVILLE FL 32256 0 1 0 0 SVP, Gen. Counsel, Secretary Option, Right to Buy 7.62 2013-09-01 4 A 0 5000 0 A 2023-09-01 Common Stock 5000 5000 D These options, which are exempt under Rule 16b-3(d), will vest in equal installments on each of the first four anniversaries of the grant date. /s/ Christopher D. Romaine 2013-09-03