Statement of Changes in Beneficial Ownership (4)
March 10 2020 - 3:38PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Braun Michael H |
2. Issuer Name and Ticker or Trading Symbol
FedNat Holding Co
[
FNHC
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chief Executive Officer & Pres |
(Last)
(First)
(Middle)
14050 N.W. 14 STREET, SUITE 180 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
3/10/2020 |
(Street)
SUNRISE, FL 33323
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock, par value $0.01 per share | 3/10/2020 | | A | | 107971 (1) | A | $0 | 719677 (2) | D | |
Common Stock, par value $0.01 per share | 3/10/2020 | | D | | 73612 (3) | D | $0 | 646065 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | Reflects (i) 57,971 performance shares granted under the Issuer's 2018 Omnibus Incentive Compensation Plan, which vest up to 33.3% each of the next three years beginning on the grant date if certain calendar year performance goals are met; and (ii) 50,000 restricted shares granted under the Plan that vest over five years beginning on the grant date. |
(2) | Includes (i) 107,971 shares granted described in footnote (1); (ii) 36,974 performance shares granted under the 2018 plan, which are the unvested shares remaining after the forfeiture of 18,488 shares and which vest up to 100% if certain performance goals are met on March 6, 2022; (iii) 42,630 performance shares granted under the 2012 Stock Incentive Plan, which are the unvested shares remaining after the forfeiture of 34,104 shares and which vest up to 100% if certain performance goals are met; and (iv) an aggregate of 22,526 unvested restricted shares previously granted under the 2018 plan and 2012 Stock Incentive Plan, which vest over five years beginning on the respective grant dates. |
(3) | Shares granted under the 2018 plan and the 2012 plan that were forfeited because performance goals were not met. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Braun Michael H 14050 N.W. 14 STREET SUITE 180 SUNRISE, FL 33323 | X |
| Chief Executive Officer & Pres |
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Signatures
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/s/ Michael H. Braun | | 3/10/2020 |
**Signature of Reporting Person | Date |
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