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
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
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*
Branch Gregory C

(Last) (First) (Middle)
C/O UNITED INSURANCE HOLDINGS CORP.
800 2ND AVENUE S

(Street)
ST. PETERSBURG FL 33701

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
UNITED INSURANCE HOLDINGS CORP. [ UIHC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
05/05/2020
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 05/05/2020(1) A 5,000 A $0 1,694,197 D
Common Stock 05/05/2020(2) A 5,000 A $0 1,699,197 D
Common Stock 118,588 I Held by Branch Journey, LLC. Reporting person is sole manager of Branch Journey, LLC.(3)
Common Stock 40,000 I Held by Branch Family Foundation, Inc.
Common Stock 101,848 I Trustee for OC Branch Revocable Trust f/b/o Christina M. Branch
Common Stock 101,848 I Trustee for OC Branch Revocable Trust f/b/o Overby C. Branch III
Common Stock 101,848 I Trustee for OC Branch Revocable Trust f/b/o Jennifer L. Branch
Common Stock 101,848 I Trustee for OC Branch Revocable Trust f/b/o Tracy L. Drake
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
Explanation of Responses:
1. Grant pursuant to the United Insurance Holdings Corp. 2020 Omnibus Incentive Plan (the "Plan") effective May 7, 2019, subject to stockholder approval of the Plan. Stockholder approval of the Plan was obtained on May 5, 2020.
2. Grant pursuant to the Plan effective May 5, 2020.
3. The amount of securities beneficially owned as reported in column 5 include 118,588 shares that were previosly held by the Greg Branch Family LP and transferred to Branch Journey, LLC in December 2012. Reporting Person is the sole manager of Branch Journey, LLC.
Remarks:
/s/ Jessica Strathman, Attorney-in-Fact for Gregory C. Branch 05/06/2020
** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.