0001069996-19-000023.txt : 20190308 0001069996-19-000023.hdr.sgml : 20190308 20190308172106 ACCESSION NUMBER: 0001069996-19-000023 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: Jordan Ronald Arthur CENTRAL INDEX KEY: 0001704133 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25001 FILM NUMBER: 19670107 MAIL ADDRESS: STREET 1: 5817 CRUTCHFIELD FARM RD CITY: OAK RIDGE STATE: NC ZIP: 27310 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_155208365255518.xml FORM 4 X0306 4 2019-03-06 0 0001069996 FedNat Holding Co FNHC 0001704133 Jordan Ronald Arthur 14050 N.W. 14 STREET SUITE 180 SUNRISE FL 33323 0 1 0 0 Chief Financial Officer Common Stock, par value $0.01 per share 2019-03-06 4 A 0 16361 0 A 36374 D Common Stock, par value $0.01 per share 2019-03-06 4 D 0 2225 0 D 34149 D Reflects (i) 10,815 performance shares granted under the Issuer's 2018 Omnibus Incentive Compensation Plan, which vest up to 100% if certain performance goals are met over one- and three-year periods beginning on the grant date; and (ii) 5,546 restricted shares granted under the Plan that vest over five years beginning on the grant date. Includes (i) 10,815 performance shares and 5,546 restricted shares described in footnote (1); (ii) 7,788 performance shares granted under the 2012 Stock Incentive Plan (the "2012 Plan"), which are the unvested shares remaining after the forfeiture of 2,225 shares and which vest up to 100% if certain performance goals are met on March 16, 2021; and (iii) 10,000 restricted shares granted under the 2012 Plan, which vest 20% per year beginning May 12, 2018. Shares granted under the 2012 Plan that were forfeited because performance goals were not met. /s/ Ronald A. Jordan 2019-03-08