0001401521-19-000214.txt : 20191127 0001401521-19-000214.hdr.sgml : 20191127 20191127170416 ACCESSION NUMBER: 0001401521-19-000214 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191126 FILED AS OF DATE: 20191127 DATE AS OF CHANGE: 20191127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FORNEY JOHN CENTRAL INDEX KEY: 0001553266 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52833 FILM NUMBER: 191258858 MAIL ADDRESS: STREET 1: C/O UNITED INSURANCE HOLDINGS STREET 2: 360 CENTRAL AVENUE, SUITE 900 CITY: ST. PETERSBURG STATE: FL ZIP: 33701 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UNITED INSURANCE HOLDINGS CORP. CENTRAL INDEX KEY: 0001401521 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 753241967 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 800 2ND AVE S CITY: SAINT PETERSBURG STATE: FL ZIP: 33701 BUSINESS PHONE: 727-895-7737 MAIL ADDRESS: STREET 1: 800 2ND AVE S CITY: SAINT PETERSBURG STATE: FL ZIP: 33701 FORMER COMPANY: FORMER CONFORMED NAME: FMG ACQUISITION CORP DATE OF NAME CHANGE: 20070531 4 1 wf-form4_157489223643082.xml FORM 4 X0306 4 2019-11-26 0 0001401521 UNITED INSURANCE HOLDINGS CORP. UIHC 0001553266 FORNEY JOHN C/O UNITED INSURANCE HOLDINGS CORP. 800 2ND AVENUE S. ST. PETERSBURG FL 33701 1 1 0 0 President & CEO Dividend Equivalent Units 2019-11-26 4 A 0 122 12.65 A Common Stock 122.0 422 D Each stock unit represents a conditional right to receive one share of the company's common stock. The dividend equivalent units will vest proportionately with the underlying restricted stock units to which they relate. /s/ Jessica Strathman, Attorney-in-Fact for John Forney 2019-11-27