Filing Details

Accession Number:
0001140361-10-051079
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-12-22 18:20:52
Reporting Period:
2010-12-22
Filing Date:
2010-12-22
Accepted Time:
2010-12-22 18:20:52
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1495925 Fortegra Financial Corp FRF Insurance Agents, Brokers & Service (6411) 581461399
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1507314 S. Robert Fullington C/O Fortegra Financial Corporation
100 West Bay Street
Jacksonville FL 32202
Evp & Pres., Consecta No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock, Par Value $0.01 Per Share Acquisiton 2010-12-22 1,293 $0.00 58,251 No 4 C Direct
Common Stock, Par Value $0.01 Per Share Acquisiton 2010-12-22 28,435 $11.00 29,816 No 4 S Direct
Common Stock, Par Value $0.01 Per Share Acquisiton 2010-12-22 2,107 $0.00 2,107 No 4 C Indirect See footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Direct
No 4 S Direct
No 4 C Indirect See footnote
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Class A Common Stock, par value $0.01 per share Disposition 2010-12-22 246 $0.00 1,293 $0.00
Common Stock Class A Common Stock, par value $0.01 per share Disposition 2010-12-22 401 $0.00 2,107 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Direct
0 No 4 C Indirect
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock, Par Value $0.01 Per Share 15,750 Indirect See footnote
Common Stock, Par Value $0.01 Per Share 15,750 Indirect See footnote
Footnotes
  1. Shares held by Fortegra Financial Corporation in a trust for the benefit of the reporting person.
  2. Held by the Robert S. Fullington Grantor Retained Annuity Trust.
  3. Held by the Robert S. Fullington GRAT II.
  4. The Class A Common Stock converted into Common Stock of Fortegra Financial Corporation on a 1 for 5.25 basis immediately prior to the consummation of the initial public offering and had no expiration date.