Statement of Changes in Beneficial Ownership (4)
April 20 2020 - 11:41AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Hill John S |
2. Issuer Name and Ticker or Trading Symbol
1347 Property Insurance Holdings, Inc.
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PIH
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
EVP, Secretary & CFO |
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(Last)
(First)
(Middle)
970 LAKE CARILLON DRIVE, SUITE 314 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
4/16/2020 |
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(Street)
ST. PETERSBURG, FL 33716
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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| 8.00% Cumulative Preferred Stock, Series A, $25.00 par value | 4/16/2020 | | P | | 100 | A | $20.60 | 100 | I | By IRA |
| Common Stock | | | | | | | | 41000 (1)(2) | D | |
| Common Stock | | | | | | | | 9500 | I | By IRA |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 7. Title and Amount of Securities Underlying Derivative Security
(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) |
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
| Explanation of Responses: |
| (1) | Includes remaining 19,200 restricted stock units ("RSUs") granted on December 15, 2017 under the Amended and Restated 2014 Equity Incentive Plan pursuant to the share-matching program (not including the 12,800 RSUs that have vested to date). These RSUs vest in five annual equal installments, beginning on the first anniversary of the grant date, with vesting subject to the reporting person's continued employment with the Company. Each RSU represents a contingent right to receive one share of common stock of the Company. |
| (2) | Includes remaining 800 RSUs granted on August 22, 2018 under the 2018 Equity Incentive Plan pursuant to the share-matching program (not including the 200 RSUs that have vested to date). These RSUs vest in five annual equal installments, beginning on the first anniversary of the grant date, with vesting subject to the reporting person maintaining ownership of 1,000 bonus shares granted on August 22, 2018 through the full five-year vesting period and subject to continued employment with the Company. Each RSU represents a contingent right to receive one share of common stock of the Company. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Hill John S
970 LAKE CARILLON DRIVE, SUITE 314
ST. PETERSBURG, FL 33716 |
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| EVP, Secretary & CFO |
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Signatures
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| /s/ John S. Hill | | 4/20/2020 |
| **Signature of Reporting Person | Date |
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