0001069996-21-000023.txt : 20210317
0001069996-21-000023.hdr.sgml : 20210317
20210317161848
ACCESSION NUMBER: 0001069996-21-000023
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210315
FILED AS OF DATE: 20210317
DATE AS OF CHANGE: 20210317
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kimbrough Jenifer G
CENTRAL INDEX KEY: 0001459538
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25001
FILM NUMBER: 21750774
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_161601227549714.xml
FORM 4
X0306
4
2021-03-15
0
0001069996
FedNat Holding Co
FNHC
0001459538
Kimbrough Jenifer G
14050 N.W. 14 STREET
SUITE 180
SUNRISE
FL
33323
1
0
0
0
Common Stock, par value $0.01 per share
2021-03-15
4
P
0
1000
4.75
A
27678
D
Common Stock, par value $0.01 per share
1110
I
Held in Ms. Kimbrough's IRA
Stock Options (right to buy)
4.4
2013-04-06
2022-04-06
Common Stock, par value $0.01 per share
15000.0
15000
D
These shares were purchased by the Reporting Person in FNHC's March 15, 2021 underwritten public offering of common stock, at the public offering price of $4.75 per share.
/s/ Jenifer G. Kimbrough
2021-03-17