0001069996-21-000072.txt : 20210402
0001069996-21-000072.hdr.sgml : 20210402
20210402163546
ACCESSION NUMBER: 0001069996-21-000072
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: Jordan Ronald Arthur
CENTRAL INDEX KEY: 0001704133
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25001
FILM NUMBER: 21802420
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_161739570007196.xml
FORM 4
X0306
4
2021-03-31
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
2021-03-31
4
A
0
40602
0
A
89050
D
Common Stock, par value $0.01 per share
2021-03-31
4
D
0
14023
0
D
75027
D
Comprised of 38,102 performance-based shares held in escrow which may be earned providing certain financial metrics are achieved during 2021, 2022 and 2023, and 2,500 time-vested shares, granted under the Issuer's 2018 Omnibus Incentive Compensation Plan.
Includes unvested restricted shares of which 52,527 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/ Ronald A. Jordan
2021-04-02