0001069996-21-000070.txt : 20210402
0001069996-21-000070.hdr.sgml : 20210402
20210402162848
ACCESSION NUMBER: 0001069996-21-000070
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210331
FILED AS OF DATE: 20210402
DATE AS OF CHANGE: 20210402
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: 21802309
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_161739528430146.xml
FORM 4
X0306
4
2021-03-31
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
2021-03-31
4
A
0
108863
0
A
759928
D
Common Stock, par value $0.01 per share
2021-03-31
4
D
0
75752
0
D
684176
D
Performance-based shares held in escrow under the Company's 2018 Omnibus Incentive Compensation Plan which may be earned providing certain financial metrics are achieved during 2021, 2022 and 2023.
Includes unvested restricted shares of which 165,997 are performance-based and are subject to forfeiture if related financial goals are not met.
Shares granted under the 2018 Omnibus Incentive Compensation Plan that were forfeited because performance goals were not met.
/s/ Michael H. Braun
2021-04-02