0001544890-15-000009.txt : 20150414 0001544890-15-000009.hdr.sgml : 20150414 20150414095258 ACCESSION NUMBER: 0001544890-15-000009 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150312 FILED AS OF DATE: 20150414 DATE AS OF CHANGE: 20150414 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Atlas Financial Holdings, Inc. CENTRAL INDEX KEY: 0001539894 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 275466079 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 150 NORTHWEST POINT BOULEVARD CITY: ELK GROVE VILLAGE STATE: IL ZIP: 60007 BUSINESS PHONE: 847-700-8000 MAIL ADDRESS: STREET 1: 150 NORTHWEST POINT BOULEVARD CITY: ELK GROVE VILLAGE STATE: IL ZIP: 60007 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wollney Scott D CENTRAL INDEX KEY: 0001544008 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35816 FILM NUMBER: 15768264 MAIL ADDRESS: STREET 1: 2437 SWAINWOOD DRIVE CITY: GLENVIEW STATE: IL ZIP: 60025 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2015-03-12 0 0001539894 Atlas Financial Holdings, Inc. AFH 0001544008 Wollney Scott D 2437 SWAINWOOD DRIVE GLENVIEW IL 60025 1 1 0 0 President & CEO Restricted Common Stock 2015-03-12 4 A 0 100000 A 333159 D Options (Common Shares) 20.29 2015-03-12 4 A 0 100000 0 A 2025-03-12 Common Shares 100000 191168 D Pursuant to Grant. Cost Basis is Zero. Award vests in five equal annual installments of 20%, provided that an installment shall not vest unless an annual performance target based on 15% growth in return on average equity is attained. In the event the performance target is not met in any year, the 20% installment for such year shall not vest, but such unvested installment shall carry forward and can vest in future years (up to the fifth year from the date of grant), subject to achievement in a future year of the applicable performance target for such year. Scott Wollney 2015-04-14