0001209191-15-026571.txt : 20150316
0001209191-15-026571.hdr.sgml : 20150316
20150316172815
ACCESSION NUMBER: 0001209191-15-026571
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20150312
FILED AS OF DATE: 20150316
DATE AS OF CHANGE: 20150316
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Diversicare Healthcare Services, Inc.
CENTRAL INDEX KEY: 0000919956
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051]
IRS NUMBER: 621559667
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1621 GALLERIA BLVD.
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
BUSINESS PHONE: 6157717575
MAIL ADDRESS:
STREET 1: 1621 GALLERIA BLVD.
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
FORMER COMPANY:
FORMER CONFORMED NAME: ADVOCAT INC
DATE OF NAME CHANGE: 19940309
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: McKnight James Reed Jr.
CENTRAL INDEX KEY: 0001556347
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12996
FILM NUMBER: 15704160
MAIL ADDRESS:
STREET 1: 1621 GALLERIA BOULEVARD
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-03-12
0
0000919956
Diversicare Healthcare Services, Inc.
DVCR
0001556347
McKnight James Reed Jr.
1621 GALLERIA BOULEVARD
BRENTWOOD
TN
37027
0
1
0
0
Chief Financial Officer
Common Stock
2015-03-12
4
M
0
310
0.00
A
51873
D
Common Stock
2015-03-12
4
F
0
1183
0.00
D
50690
D
Common Stock
2015-03-12
4
M
0
114
0.00
A
50804
D
Common Stock
2015-03-12
4
F
0
1132
0.00
D
49672
D
Common Stock
2015-03-12
4
M
0
1689
0.00
A
51361
D
Common Stock
2015-03-12
4
F
0
551
0.00
D
50810
D
Dividend Equivalent Rights on 2012 Restricted Shares
Common Stock
484.83
484.83
D
Dividend Equivalent Rights on 2013 Restricted Shares
2015-03-12
4
M
0
310
0.00
D
Common Stock
310
312.08
D
Dividend Equivalent Rights on 2014 Restricted Shares
2015-03-12
4
M
0
114
0.00
D
Common Stock
114
226.42
D
2013 Restricted Stock Units
2015-03-12
4
M
0
1688.88
0.00
D
Common Stock
1688.88
0
D
2014 Restricted Stock Units
Common Stock
3703.96
3703.96
D
2015 Restricted Stock Units
Common Stock
6572.66
6572.66
D
Represents vesting of dividend equivalent.
This transaction represents shares withheld by the Company for tax withholdings on Mr. McKnight's vesting of a portion of his 2013 Restricted Stock.
This transaction represents shares withheld by the Company for tax withholdings on Mr. McKnight's vesting of a portion of his 2014 Restricted Stock.
This transaction represents shares withheld by the Company for tax withholdings on Mr. McKnight's vesting of 2013 Restricted Stock Units.
These dividend equivalent rights accrued on shares of restricted stock granted on August 20, 2012 and will vest as the underlying shares vest.
These dividend equivalent rights accrued on shares of restricted stock granted on March 12, 2013 and will vest as the underlying shares vest.
These dividend equivalent rights accrued on shares of restricted stock granted on March 12, 2014 and will vest as the underlying shares vest.
Each restricted stock unit is equal to one share.
The 2013 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (03/12/2013).
Each Restricted Stock Unit was the economic equivalent of one share of common stock. On March 12, 2015, 1,688.88 of the reporting person's Restricted Stock Units were settled for an equal number of shares of common stock.
The 2014 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (3/12/2014).
Mr. McKnight elected to receive $68,750 of his cash bonus for 2014 in Restricted Stock Units under the terms of the Advocat Inc. 2008 Stock Purchase Plan for Key Personnel. Each Restricted Stock Unit is equal to one share. These Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their Grant Date.
The 2015 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (3/10/2015).
/s/ Jonathan D. Stanley, Attorney-In-Fact
for James Reed McKnight, Jr.
2015-03-16
EX-24.4_571270
2
poa.txt
POA DOCUMENT
LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS
Know all by these presents, that the undersigned hereby constitutes and appoints
each of Jonathan D. Stanley, Kelly J. Gill and Susan V. Sidwell signing singly,
the undersigned's true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned, in the undersigned's capacity
as an officer and/or director of Advocat Inc. (the "Company"), Forms 3, 4, and 5
in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the
rules thereunder;
(2) 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 3, 4, or 5,
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;
(3) execute for and on behalf of the undersigned a Form ID and any subsequent
filings, submissions or correspondence relating thereto; and
(4) 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 each 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 attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 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 file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact. This Power of Attorney replaces and revokes any
and all prior powers of attorney granted by the undersigned, in the
undersigned's capacity as an officer and/or director of the Company, relating to
Section 16 of the Securities Exchange Act of 1934.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 8th day of August, 2012.
Signature /s/ James Reed McKnight, Jr.
Print Name: James Reed McKnight, Jr.