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DIVITA CHARLES III 4

Accession 0001140361-11-049813

CIK 0001010247other

Filed

Oct 18, 8:00 PM ET

Accepted

Oct 19, 12:21 PM ET

Size

17.3 KB

Accession

0001140361-11-049813

Insider Transaction Report

Form 4
Period: 2011-10-19
DIVITA CHARLES III
Chief Financial Officer
Transactions
  • Disposition to Issuer

    Employee Stock Option (right to buy)

    2011-10-19$21.75/sh5,625$122,3270 total
    Exercise: $20.25Exp: 2015-01-20Common Stock (5,625 underlying)
  • Disposition to Issuer

    Common Stock

    2011-10-196,0860 total(indirect: By 401(k))
  • Disposition to Issuer

    Common Stock

    2011-10-1944,2190 total
  • Disposition to Issuer

    Employee Stock Option (right to buy)

    2011-10-19$26.63/sh12,603$335,6680 total
    Exercise: $15.37Exp: 2013-12-12Common Stock (12,603 underlying)
  • Disposition to Issuer

    Employee Stock Option (right to buy)

    2011-10-19$15.75/sh13,165$207,4010 total
    Exercise: $26.25Exp: 2017-01-08Common Stock (13,165 underlying)
  • Disposition to Issuer

    Employee Stock Option (right to buy)

    2011-10-19$18.49/sh8,773$162,1860 total
    Exercise: $23.51Exp: 2016-01-06Common Stock (8,773 underlying)
Footnotes (7)
  • [F1]Includes 5,716 restricted shares issued under the issuer's Omnibus Incentive Plan the restrictions on which lapsed immediately prior to the effective time of the Merger pursuant to the Merger Agreement. Also includes 186 shares deemed to have been acquired pursuant to the FPIC Insurance Group, Inc. Employee Stock Purchase Plan, under which the election to participate was made beginning in January 2011. The deemed acquisition is exempt from Section 16(b) pursuant to Rule 16(b)-3(c).
  • [F2]Pursuant to the Agreement and Plan of Merger between the issuer, The Doctors Company and Fountain Acquisition Corp. (the "Merger Agreement"), these shares were converted into the right to receive $42.00 per share in cash immediately prior to the effective time of the Merger (the "Merger") of Fountain Acquisition Corp. with and into the issuer.
  • [F3]Represents the equivalent number of shares held as units for reporting person's account by the Company's 401(k) plan.
  • [F4]Pursuant to the Merger Agreement, this option was cancelled immediately prior to the effective time of the Merger exchange for an amount in cash equal to the product of (i) the number of shares for which this option had been exercisable and (ii) the excess of $42.00 per share over the exercise price of $15.366 per share in cash. The option vested in equal installments on December 12, 2004, 2005 and 2006.
  • [F5]Pursuant to the Merger Agreement, this option was cancelled immediately prior to the effective time of the Merger exchange for an amount in cash equal to the product of (i) the number of shares for which this option had been exercisable and (ii) the excess of $42.00 per share over the exercise price of $20.253 per share in cash. The option vested in equal installments on January 20, 2006, 2007 and 2008.
  • [F6]Pursuant to the Merger Agreement, this option was cancelled immediately prior to the effective time of the Merger exchange for an amount in cash equal to the product of (i) the number of shares for which this option had been exercisable and (ii) the excess of $42.00 per share over the exercise price of $23.513per share in cash. The option vested in equal installments on January 6, 2007, 2008 and 2009.
  • [F7]Pursuant to the Merger Agreement, this option was cancelled immediately prior to the effective time of the Merger exchange for an amount in cash equal to the product of (i) the number of shares for which this option had been exercisable and (ii) the excess of $42.00 per share over the exercise price of $26.246 per share in cash. The option vested in equal installments on January 8, 2008, 2009 and 2010.

Documents

1 file

Issuer

FPIC INSURANCE GROUP INC

CIK 0001010247

Entity typeother

Related Parties

1
  • filerCIK 0001347535

Filing Metadata

Form type
4
Filed
Oct 18, 8:00 PM ET
Accepted
Oct 19, 12:21 PM ET
Size
17.3 KB