| 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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 | | OMB APPROVAL | | OMB Number: | 3235-0287 | | Expires: | February 28, 2011 | | Estimated average burden | | hours per response | 0.5 |
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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*
| FOUR FOREST PARK, SECOND FLOOR | |
(Street)
| 2. Issuer Name and Ticker or Trading Symbol
UNITED INSURANCE HOLDINGS CORP.
[FMGQ] | 5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)| X | Director | | 10% Owner | | Officer (give title below) | X | Other (specify below) | | Vice Chairman of the Board |
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3. Date of Earliest Transaction (Month/Day/Year)
10/06/2008 |
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 |
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| 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 |
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 Underlying Securities
(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 of Derivative Security: 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 |
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Warrants
| $
6
| 10/06/2008 | | P | |
45,750
| | 09/30/2008 | 10/04/2011 |
Common Stock
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45,750
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$
0.3
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1,116,931
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I
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See footnote
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Warrants
| $
6
| 10/06/2008 | | P | |
156,250
| | 09/30/2008 | 10/04/2011 |
Common Stock
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156,250
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$
0.32
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1,273,181
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I
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See footnote
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Warrants
| $
6
| | | | | | | 09/30/2008 | 10/04/2011 |
Common Stock
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50,000
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50,000
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D
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| Explanation of Responses: |
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| /s/ Nicholas W. Griffin as Attorney-in-Fact of Gordon G. Pratt | 10/08/2008 |
| ** 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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| 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. |
EX-24
Power of Attorney
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby constitutes and appoints Nicholas W. Griffin and Carolyn T. Long
as the undersigned's true and lawful attorneys-in-fact, to:
1.
execute for and on behalf of the undersigned Forms 4 and 5 in accordance with
Section 16 of the Securities Exchange Act of 1934 and the rules promulgated
thereunder;
2.
do and perform any and all acts for and on behalf of the undersigned which may
be necessary or desirable to complete the execution of any such Form 4 and 5 and
the timely filing of such form with the United States Securities and Exchange
Commission and any other authority; and
3.
take any other action of any type whatsoever in connection with the foregoing
which, in the opinion of such attorney-in-fact, may be of benefit to, in the
best interest of, or legally required by, the undersigned, it being understood
that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in his or
her discretion.
The
undersigned hereby grants to such attorney-in-fact full power and authority to do and
perform all and every act and thing whatsoever requisite, necessary and proper to be done
in the exercise of any of the rights and powers herein granted, as fully to all intents
and purposes as such attorney-in-fact might or could do if personally present, with full
power of substitution or revocation, hereby ratifying and confirming all that such
attorney-in-fact, or his or her substitute or substitutes, shall lawfully do or cause to
be done by virtue of this Power of Attorney and the rights and powers herein granted. The
undersigned acknowledges that the foregoing attorney-in-fact, in serving in such capacity
at the request of the undersigned, is not assuming any of the undersigneds
responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.
IN
WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed
effective as of this 2nd day of October, 2008.
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/s/ Gordon G. Pratt |
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Printed Name: GORDON G. PRATT |
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