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