SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
McCurdy Chad A.

(Last) (First) (Middle)
1621 GALLERIA BLVD

(Street)
BRENTWOOD TN 37027

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Diversicare Healthcare Services, Inc. [ DVCR ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
05/16/2014
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 05/16/2014 P 20,800 A $6.0615 (1) 35,000 I In IRA
Common Stock 05/16/2014 P 36,300 A $6.0615 (1) 161,300 I Jointly Held with Spouse
Common Stock 05/19/2014 P 13,700 A $6.6858 (2) 175,000 I Jointly Held with Spouse
Common Stock 05/20/2014 P 7,500 A $6.3422 (3) 7,500 I In Spouse's IRA
Common Stock 1,287 D
Common Stock 1,017,600 I Owned by Marlin Capital Partners, LLC (4)
Common Stock 5,000 I Owned by Dependent Child (5)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 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: 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
Dividend Equivalent Rights on 2012 Restricted Shares (6) (6) (6) Common Stock 1.07 12.02 D
Dividend Equivalent Rights on 2013 Restricted Shares (7) (7) (7) Common Stock 2.04 12.39 D
Dividend Equivalent Rights on 2014 Restricted Shares (8) (8) (8) Common Stock 2.92 2.92 D
Stock Settled Stock Appreciation Right $5.45 (9) 06/18/2020 Common Stock 1,000 1,000 D
Stock Settled Stock Appreciation Right $2.37 (9) 03/13/2019 Common Stock 1,000 1,000 D
Stock Options (right to buy) $10.8 (9) 03/12/2018 Common Stock 15,000 15,000 D
Explanation of Responses:
1. This price represents the weighted average purchase price of multiple transactions on the reported date at prices that ranged between $5.99627 and $6.5500. Detailed information regarding the number of shares purchased at each separate price will be provided upon request by the Commission staff, the issuer or a security holder of the issuer.
2. This price represents the weighted average purchase price of multiple transactions on the reported date at prices that ranged between $6.0999 and $6.9092. Detailed information regarding the number of shares purchased at each separate price will be provided upon request by the Commission staff, the issuer or a security holder of the issuer.
3. This price represents the weighted average purchase price of multiple transactions on the reported date at prices that ranged between $6.3086 and $6.4092. Detailed information regarding the number of shares purchased at each separate price will be provided upon request by the Commission staff, the issuer or a security holder of the issuer.
4. Mr. McCurdy is the Managing Partner of Marlin Capital Partners, LLC.
5. This reporting person disclaims beneficial ownership of shares held by his child except to the extent of his pecuniary interest therein.
6. These dividend equivalent rights accrued on shares of restricted stock granted on March 12, 2012 and will vest as the underlying shares vest.
7. These dividend equivalent rights accrued on shares of restricted stock granted on March 12, 2013 and will vest as the underlying shares vest.
8. These dividend equivalent rights accrued on shares of restricted stock granted on March 12, 2014 and will vest as the underlying shares vest.
9. Vests 1/3 on the first anniversary of the date of grant, 1/3 on the second anniversary of the date of grant, and 1/3 on the third anniversary of the date of grant.
Remarks:
/s/ Jonathan D. Stanley, Attorney-in-Fact for Chad A. McCurdy 05/20/2014
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
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