0001209191-21-021041.txt : 20210316
0001209191-21-021041.hdr.sgml : 20210316
20210316182219
ACCESSION NUMBER: 0001209191-21-021041
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20210313
FILED AS OF DATE: 20210316
DATE AS OF CHANGE: 20210316
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: 21747511
MAIL ADDRESS:
STREET 1: 1621 GALLERIA BOULEVARD
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-03-13
0
0000919956
Diversicare Healthcare Services, Inc.
DVCR
0001556347
McKnight James Reed Jr.
1621 GALLERIA BOULEVARD
BRENTWOOD
TN
37027
1
1
0
0
CEO and President
Common Stock
2021-03-13
4
M
0
100
0.00
A
273312
D
Common Stock
2021-03-13
4
F
0
1038
3.75
D
272274
D
Common Stock
2021-03-13
4
F
0
5275
3.75
D
266999
D
Common Stock
2021-03-13
4
F
0
2029
3.75
D
264970
D
Common Stock
2021-03-13
4
M
0
10240
0.00
A
275210
D
Common Stock
2021-03-13
4
F
0
1787
3.75
D
273423
D
Common Stock
2021-03-16
4
A
0
25000
0.00
A
298423
D
Dividend Equivalent Rights on 2018 Restricted Shares
2021-03-13
4
M
0
100
0.00
D
Common Stock
100
0
D
2019 Restricted Stock Units
2021-03-13
4
M
0
10240
0.00
D
Common Stock
10240
0
D
2021 Restricted Stock Units
2021-03-16
4
A
0
13463
0.00
A
Common Stock
13463
13463
D
2020 Restricted Stock Units
Common Stock
13235.29
13235.29
D
Represents vesting of Dividend Equivalent Rights on 2018 Restricted Stock.
This transaction represents shares withheld by the Company for tax withholdings on Mr. McKnight's vesting of 2018 Restricted Stock.
This transaction represents shares withheld by the Company for tax withholdings on Mr. McKnight's vesting of 2019 Restricted Stock.
This transaction represents shares withheld by the Company for tax withholdings on Mr. McKnight's vesting of 2020 Restricted Stock Units.
Represents vesting of 2019 Restricted Stock Units.
This transaction represents shares withheld by the Company to cover the tax withholding on Mr. McKnight's settlement of 2019 Restricted Stock Units.
Restricted stock grant that will vest in equal parts over the first three anniversaries of the date of grant.
These dividend equivalent rights accrued on shares of restricted stock granted on March 13, 2018 and will vest as the underlying shares vest.
Each restricted stock unit is equal to one share. There are dividend equivalent rights accruing on restricted stock units.
The 2019 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (03/13/2019).
Each Restricted Stock Unit was the economic equivalent of one share of common stock. On March 13, 2021, 10,239.52 of the reporting person's Restricted Stock Units were settled for 10,240 shares of common stock.
Mr. McKnight elected to receive $48,600 of his cash bonus for 2020 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.
The 2021 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (03/16/2021).
The 2020 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (03/13/2020).
Exhibit List
Exhibit 24 - Power of Attorney
/s/ Susan V. Sidwell, Attorney-In-Fact
for James R. McKnight, Jr.
2021-03-16
EX-24.4_973525
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby constitutes and
appoints each of Jonathan D. Stanley, Kerry D. Massey, 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 Diversicare Healthcare Services, 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 25th day of October, 2018.
/s/ James R. McKnight, Jr.
Signature
James R. McKnight, Jr.
Print Name