0001069996-19-000021.txt : 20190308 0001069996-19-000021.hdr.sgml : 20190308 20190308171251 ACCESSION NUMBER: 0001069996-19-000021 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190306 FILED AS OF DATE: 20190308 DATE AS OF CHANGE: 20190308 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Braun Michael H CENTRAL INDEX KEY: 0001347447 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25001 FILM NUMBER: 19670004 MAIL ADDRESS: STREET 1: 14050 NW 14 STREET STREET 2: SUITE 180 CITY: SUNRISE STATE: FL ZIP: 33323 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FedNat Holding Co CENTRAL INDEX KEY: 0001069996 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 650248866 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 14050 NW 14 STREET STREET 2: SUITE 180 CITY: SUNRISE STATE: FL ZIP: 33323 BUSINESS PHONE: 8002932532 MAIL ADDRESS: STREET 1: 14050 NW 14 STREET STREET 2: SUITE 180 CITY: SUNRISE STATE: FL ZIP: 33323 FORMER COMPANY: FORMER CONFORMED NAME: FEDNAT HOLDING Co DATE OF NAME CHANGE: 20180605 FORMER COMPANY: FORMER CONFORMED NAME: FEDERATED NATIONAL HOLDING Co DATE OF NAME CHANGE: 20171221 FORMER COMPANY: FORMER CONFORMED NAME: FEDERATED NATIONAL HOLDING CO DATE OF NAME CHANGE: 20120912 4 1 wf-form4_155208315719233.xml FORM 4 X0306 4 2019-03-06 0 0001069996 FedNat Holding Co FNHC 0001347447 Braun Michael H 14050 N.W. 14 STREET SUITE 180 SUNRISE FL 33323 1 1 0 0 Chief Executive Officer & Pres Common Stock, par value $0.01 per share 2019-03-06 4 A 0 55462 0 A 643987 D Common Stock, par value $0.01 per share 2019-03-06 4 D 0 32281 0 D 611706 D Reflects (i) 55,462 performance shares granted under the Issuer's 2018 Omnibus Incentive Compensation Plan, which vests up to 100% if certain performance goals are met over one- and three-year periods beginning on the grant date. Includes (i) 55,462 performance shares described in footnote (1); (ii) 59,682 performance shares granted under the 2012 Stock Incentive Plan (the "2012 Plan"), which are the unvested shares remaining after the forfeiture of 17,052 shares and which vest up to 100% if certain performance goals are met on March 16, 2021; (iii) 38,072 performance shares granted under the 2012 Plan which are the unvested shares remaining after the forfeiture of 15,229 shares and which vest up to 100% if certain performance goals are met on March 14, 2020; and (iv) 106,789 restricted shares granted under the 2012 Plan which vest 33-1/3% or 20% per year beginning May 5, 2018 and March 10, 2021, respectively. Shares granted under the 2012 Plan that were forfeited because performance goals were not met. /s/ Michael H. Braun 2019-03-08