Filing Details

Accession Number:
0001179110-10-018034
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-12-22 13:44:37
Reporting Period:
2010-12-22
Filing Date:
2010-12-22
Accepted Time:
2010-12-22 13:44:37
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
830588 P L Partners Summit 222 Berkeley Street
18Th Floor
Boston MA 02116
No No No Yes
1018062 R Bruce Evans C/O Summit Partners
222 Berkeley Street, 18Th Floor
Boston MA 02116
No No No Yes
1018067 J Martin Mannion C/O Summit Partners
222 Berkeley Street, 18Th Floor
Boston MA 02116
No No No Yes
1258825 Summit Partners Vi Gp Llc 222 Berkeley Street
18Th Floor
Boston MA 02116
No No No Yes
1258826 Summit Partners Vi Gp Lp 222 Berkeley Street
18Th Floor
Boston MA 02116
No No No Yes
1486418 Summit Partners Pe Vii, L.p. 222 Berkeley Street
18Th Floor
Boston MA 02116
No No No Yes
1486419 Summit Partners Pe Vii, Llc 222 Berkeley Street
18Th Floor
Boston MA 02116
No No No Yes
1486442 Summit Partners Sd Iii, L.p. 222 Berkeley Street
18Th Floor
Boston MA 02116
No No No Yes
1486443 Summit Partners Sd Iii, Llc 222 Berkeley Street
18Th Floor
Boston MA 02116
No No No Yes
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 Entites 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.