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