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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Performance Stock Units | (1) | 04/03/2019 | M | 9,852 | (2) | (3) | Common Stock | 9,852 | $ 16.25 | 19,502 | D | ||||
Performance Stock Units | (1) | 04/03/2019 | A | 31,385 | (2) | (3) | Common Stock | 31,385 | $ 16.25 | 50,887 | D | ||||
Restricted Stock Units | (1) | 04/03/2019 | A | 15,692 | (4) | (4) | Common Stock | 15,692 | $ 16.25 | 30,369 | D | ||||
Nonqualified Stock Options | $ 16.25 | 04/03/2019 | A | 42,548 | (5) | 04/01/2029 | Common Stock | 42,548 | $ 16.25 | 42,548 | D | ||||
Nonqualified Stock Options | $ 21.13 | (5) | 10/05/2028 | Common Stock | 39,066 | 39,066 | D | ||||||||
Nonqualified Stock Options | $ 20.44 | (5) | 09/18/2028 | Common Stock | 14,677 | 14,677 | D | ||||||||
Dividend Equivalent Units | (1) | 11/27/2018 | A | 95 | (6) | (6) | Common Stock | 95 | $ 18.49 | 95 | D | ||||
Dividend Equivalent Units | (1) | 03/13/2019 | A | 108 | (6) | (6) | Common Stock | 108 | $ 16.37 | 203 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
FORNEY JOHN C/O UNITED INSURANCE HOLDINGS CORP. 800 2ND AVENUE S. ST. PETERSBURG, FL 33701 |
X | President & CEO |
/s/ Jessica Strathman, Attorney-in-Fact for John Forney | 04/05/2019 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Each stock unit represents a conditional right to receive one share of the company's common stock. |
(2) | The performance units are subject to vesting over three years with one third, rounded down to the nearest whole share of stock, vesting in each period. |
(3) | The number of shares of common stock that will be delivered for each performance stock unit depends on the achievement of certain performance factors. Depending on actual performance, the number of shares of common stock delivered upon the vesting date (based on the terms outlined in the respective award agreement) can range from 0% to 150% of the number presented above. |
(4) | The restricted stock units are subject to vesting over three years with on third, rounded down to the nearest whole share of stock, vesting in each period. |
(5) | Exercise of the nonqualified award is subject to vesting over three years with one third, rounded down to the nearest whole share of stock, becoming exercisable in each period. |
(6) | The dividend equivalent units will vest proportionately with the underlying restricted stock units or performance-based restricted stock units to which they relate. Dividend equivalent units credited in respect of performance-based restricted stock units that are not eligible for conversion at the end of the performance period will be cancelled. |