SEC Form 5/A · accession 0001474590-17-000009
UNITED FIRE GROUP INC · UFCS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 5/A). It replaces an earlier filing for the same period.
Reporting owner
Dee Ann McIntyre
10% Owner
Period of report
Dec 31, 2016
Accepted (ET)
Feb 14, 2017 · 4:14 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000101199
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 16, 2016 | P | 7,500 | $49.15 | A | 47,634 | D | |
| Common StockF1 | Dec 19, 2016 | P | 7,500 | $49.99 | A | 47,634 | D | |
| Common Stock | holding | — | — | — | 50,802 | I | J. Scott McIntyre Marital Election Trust | |
| Common Stock | holding | — | — | — | 2,426,533 | I | Dee Ann McIntyre Marital Election Trust | |
| Common StockF2,F4 | holding | — | — | — | 499,675 | I | Dee Ann McIntyre Irrevocable Trust | |
| Common StockF3,F4 | holding | — | — | — | 471,863 | I | McIntyre Foundation |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The number of securities directly owned by the Reporting Person at the end of the issuer's fiscal year includes: 168 certificated shares, 16,500 shares in an individual retirement account, and 30,966 shares held in a revocable trust for the Reporting Person's benefit (of which 10,966 shares are held in one revocable trust account, and 20,000 shares are held in another revocable trust account). Form 4s and Form 4/As for the transactions dated 12/16/2016 and 12/19/2016 were not filed at the time of the transactions, but have been filed prior to the filing of Form 5 and Form 5/A, respectively.
- F2The Reporting Person is a lifetime beneficiary of the Dee Ann McIntyre Irrevocable Trust.
- F3The McIntyre Foundation is a private foundation, for which the Reporting Person serves as one of three directors.
- F4The Reporting Person hereby expressly declares that, pursuant to 17 CFR 240.13d-4, this filing shall not be construed as an admission that such person is a beneficial owner of any securities covered by this statement.