SEC Form 4 · accession 0001179110-15-004859
SAFETY INSURANCE GROUP INC · SAFT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David E Krupa
Officer — VP - Claims Operations
Period of report
Mar 12, 2015
Accepted (ET)
Mar 13, 2015 · 2:51 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001172052
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Mar 12, 2015 | F | 1,457 | $58.559 | D | 25,454 | D | |
| Common StockF3,F2 | Mar 12, 2015 | S | 1,905 | $58.559 | D | 23,549 | D | |
| Common StockF4 | holding | — | — | — | 35,449 | I | See Footnote | |
| Common StockF5 | holding | — | — | — | 36,000 | I | See Footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents securities delivered in payment of a tax liability with respect to vesting of securities issued in accordance with Rule 16b-3.
- F2Represents the weighted average sale price of multiple open market same day sales with prices ranging from $58.05 to $58.89 per share. Full information regarding the number of shares sold at each separate price will be provided to the Securities and Exchange Commission or a security holder of the issuer upon request.
- F3Represents securities with respect to vesting of securities issued in accordance with Rule 16b-3
- F4Shares are owned by a trust of which the reporting person is a trustee.
- F536,000 shares are owned by a trust of which the reporting person's spouse is a trustee.