Statement of Changes in Beneficial Ownership (4)
March 10 2020 - 03:38PM
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 ] |
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
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(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 |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
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1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock, par value $0.01 per
share |
3/10/2020 |
|
A |
|
107971 (1) |
A |
$0 |
719677 (2) |
D |
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Common Stock, par value $0.01 per
share |
3/10/2020 |
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D |
|
73612 (3) |
D |
$0 |
646065 |
D |
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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
|
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 |
|
Signatures
|
/s/ Michael H. Braun |
|
3/10/2020 |
**Signature of
Reporting Person |
Date |