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