UNITED INSURANCE HOLDINGS CORP. | ||||
(Exact name of registrant as specified in its charter) | ||||
Delaware | 75-3241967 | |||
(State or other jurisdiction of incorporation) | (IRS Employer Identification No.) | |||
800 2nd Avenue South St. Petersburg, Florida 33701 Phone: (727) 895-7737 | ||||
(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices) | ||||
John Forney Chief Executive Officer United Insurance Holdings Corp. 800 2nd Avenue South St. Petersburg, Florida 33701 Phone: (727) 895-7737 | ||||
(Name, address, including zip code, and telephone number, including area code, of agent for service) | ||||
with a copy to: | ||||
Brian Fahrney Sidley Austin LLP One South Dearborn Street Chicago, Illinois 60603 Phone: (312) 853-7000 |
Large accelerated filer | ¨ | Accelerated filer | þ | |
Non-accelerated filer | ¨ | (Do not check if a smaller reporting company) | Smaller reporting company | ¨ |
Emerging growth company | ¨ |
Title of Each Class of Securities to be Registered | Amount of Registration Fee | |||||
Common Stock, $0.0001 par value per share | (2) | |||||
Preferred Stock, $0.0001 par value per share | (2) | (2) | (2) | (2) | ||
Debt Securities | (2) | (2) | (2) | (2) | ||
Warrants | (2) | (2) | (2) | (2) | ||
Stock Purchase Contracts | (2) | (2) | (2) | (2) | ||
Stock Purchase Units | (2) | (2) | (2) | (2) | ||
Total | $24,900(4) | |||||
(1) | Pursuant to Rule 416 under the Securities Act of 1933, as amended (the “Securities Act”), this registration statement shall be deemed to cover any additional securities to be offered or issued from stock splits, stock dividends, or similar transactions with respect to the securities being registered. | |||||
(2) | Includes an indeterminate aggregate principal amount or number of each identified class of securities up to a proposed aggregate offering price of $200,000,000, which may be offered by the registrant from time to time in unspecified numbers and at indeterminate prices, and as may be issued upon conversion, redemption, repurchase, exchange or exercise of any securities registered hereunder, including any applicable anti-dilution provisions. This registration statement also covers delayed delivery contracts that may be issued by the registrant under which the party purchasing such contracts may be required to purchase debt securities. Such contracts may be issued together with the specific securities to which they relate. Securities registered hereunder to be sold by the registrant may be sold either separately or as units comprised of more than one type of security registered hereunder. | |||||
(3) | Estimated solely for the purpose of calculating the registration fee pursuant to Rule 457(o) under the Securities Act. |
(4) | Pursuant to Rule 457(p) under the Securities Act, the registrant hereby offsets the total registration fee due under this registration statement by the amount of the filing fee associated with the unsold securities from the registrant’s Registration Statement on Form S-3, filed with the Securities and Exchange Commission on September 30, 2013 (SEC File No. 333-191472), registering securities for a maximum aggregate offering price of $75,000,000 (the "Prior Registration Statement"). The registrant sold $50,000,000 of securities under the Prior Registration Statement. The associated filing fee of $3,410 for such unsold securities, calculated under Rule 457(p), is hereby used to offset the current registration fee due. Accordingly, such offset against the $24,900 registration fee currently due for this registration statement results in the registrant paying $21,490 in net filing fees for this registration statement. Of such amount, $19,770 was previously paid in connection with the initial filing of this registration statement and the remaining $1,720 is being paid herewith. |
Item 16. | Exhibits. |
Exhibit No. | Exhibit |
1.1* | Form of Underwriting Agreement. |
Second Amended and Restated Certificate of Incorporation (as amended to include the Certificate of Designations, Powers, Preferences and Rights of Series A Junior Participating Preferred Stock of United Insurance Holdings Corp.) (included as Exhibit 3.1 to the Form 10-Q (File No. 000-52833), filed on August 8, 2012, and incorporated herein by reference). | |
By-Laws (included as Exhibit 3.3 to the Form S-1 (Registration No. 333-143466), filed June 4, 2007, and incorporated herein by reference). | |
Specimen Common Stock Certificate (included as Exhibit 4.2 to Amendment No. 1 to Post-Effective Amendment No. 1 on Form S-3 (Registration No. 333-150327), filed on December 23, 2008, and incorporated herein by reference). | |
Form of Senior Debt Indenture (included as Exhibit 4.3 to the Form S-3 (Registration No. 333-201425) filed on January 9, 2015, and incorporated herein by reference). | |
4.5* | Form of Senior Debt Security. |
Form of Subordinated Debt Indenture (included as Exhibit 4.5 to the Form S-3 (Registration No. 333-201425) filed on January 9, 2015, and incorporated herein by reference). | |
4.7* | Form of Subordinated Debt Security. |
4.8* | Form of Warrant. |
4.9* | Form of Warrant Agreement. |
4.10* | Form of Stock Purchase Contract. |
4.11* | Form of Stock Purchase Unit. |
4.12* | Form of Stock Purchase Unit Contract. |
4.13 | See exhibits 4.1 and 4.2 of this registration statement defining certain rights of security holders. |
5.1┼ | Opinion of Sidley Austin LLP. |
12.1** | Computation of Ratio of Earnings to Fixed Charges. |
23.1┼ | Consent of RSM US LLP. |
23.2┼ | Consent of RSM US LLP. |
23.3 | Consent of Sidley Austin LLP (included in Exhibit 5.1). |
24.1** | Powers of Attorney (included on signature page to the registration statement as initially filed). |
25.1┼ | Statement of Eligibility of Trustee for the Debt Securities on Form T-1 (Debt Securities). |
25.2* | Statement of Eligibility of Trustee for the Debt Securities on Form T-1 (Subordinated Debt Securities). |
Signature | Title | Date |
/s/ John L. Forney John L. Forney | President, Chief Executive Officer and Director (Principal Executive Officer) | November 22, 2017 |
* Bennett Bradford Martz | Chief Financial Officer (Principal Financial Officer and Principal Accounting Officer) | November 22, 2017 |
* Gregory C. Branch | Chairman of the Board of Directors | November 22, 2017 |
* R. Daniel Peed | Vice-Chairman of the Board of Directors | November 22, 2017 |
* Alec L. Poitevint, II | Director | November 22, 2017 |
* Kent G. Whittemore | Director | November 22, 2017 |
* Kern M. Davis, M.D. | Director | November 22, 2017 |
* William H. Hood, III | Director | November 22, 2017 |
* Sherrill W. Hudson | Director | November 22, 2017 |
* Michael Hogan | Director | November 22, 2017 |
* Patrick Maroney | Director | November 22, 2017 |