0001069996-19-000031.txt : 20190308
0001069996-19-000031.hdr.sgml : 20190308
20190308173923
ACCESSION NUMBER: 0001069996-19-000031
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180316
FILED AS OF DATE: 20190308
DATE AS OF CHANGE: 20190308
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Fernandez Erick Anthony
CENTRAL INDEX KEY: 0001677866
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25001
FILM NUMBER: 19670242
MAIL ADDRESS:
STREET 1: 1537 MANTUA AVENUE
CITY: CORAL GABLES
STATE: FL
ZIP: 33146
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_155208474926835.xml
FORM 4
X0306
4
2018-03-16
0
0001069996
FedNat Holding Co
FNHC
0001677866
Fernandez Erick Anthony
14050 NW 14 STREET
SUITE 180
SUNRISE
FL
33323
0
1
0
0
CAO
Common Stock, par value $0.01
2018-03-16
4
A
0
3000
0
A
6300
D
Restricted shares granted under the Issuer's 2012 Stock Incentive Plan (the "2012 Plan"), which vest over three years, one-third on each anniversary of the grant date.
Includes (i) 3,000 restricted shares described in footnote (1); and (ii) an aggregate of 1,100 unvested restricted shares previously granted under the 2012 Plan, which vest over three years beginning on the grant date.
/s/ Erick A. Fernandez
2019-03-08