Filing Details

Accession Number:
0001179110-10-018029
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-12-22 13:21:02
Reporting Period:
2010-12-22
Filing Date:
2010-12-22
Accepted Time:
2010-12-22 13:21:02
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
1316158 R John Carroll C/O Summit Partners
222 Berkeley Street, 18Th Floor
Boston MA 02116
Yes No 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 Acquisiton 2010-12-22 13,987,447 $0.00 13,987,447 No 4 C Indirect See remarks.
Common Stock Disposition 2010-12-22 1,548,675 $10.23 12,438,772 No 4 S Indirect See remarks.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect See remarks.
No 4 S Indirect See remarks.
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 2,664,275 $0.00 13,987,447 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Indirect
Footnotes
  1. Represents shares sold by the following Entities: 894,669 sold by Summit Partners Private Equity Fund VII-A, L.P., 537,352 sold by Summit Partners Private Equity Fund VII-B, L.P., 73,670 sold by Summit Subordinated Debt Fund III-A, L.P., 38,377 sold by Summit Subordinated Debt Fund III-B, L.P., 4,607 shares sold by Summit Investors VI, L.P.
  2. Represents shares held by the following Entities: 7,185,781 in the name of Summit Partners Private Equity Fund VII-A, L.P.; 4,315,949 in the name of Summit Partners Private Equity Fund VII-B, L.P.; 591,713 in the name of Summit Subordinated Debt Fund III-A, L.P.; 308,237 in the name of Summit Subordinated Debt Fund III-B, L.P.; 37,002 in the name of Summit Investors VI, L.P.
  3. Represents shares acquired by the Entities upon conversion of the Class A Common Stock: 8,080,540 in the name of Summit Partners Private Equity Fund VII-A, L.P., 4,853,301 in the name of Summit Partners Private Equity Fund VII-B, L.P., 665,383 in the name of Summit Subordinated Debt Fund III-A, L.P., 346,614 in the name of Summit Subordinated Debt Fund III-B, L.P., and 41,609 in the name of Summit Investors VI, L.P.
  4. The Class A Common Stock converted into Common Stock of Fortegra Financial Corporation on a 1 for 5.25 basis and had no expiration date.