SEC Form 4 · accession 0001179110-16-020180
SAFETY INSURANCE GROUP INC · SAFT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David F Brussard
Officer — President, CEO and Chairman · Director
Period of report
Feb 23, 2016
Accepted (ET)
Feb 25, 2016 · 9:35 pm EST
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 | Feb 23, 2016 | J | 6,764 | $0.00 | D | 106,732 | D | |
| Common StockF2,F3 | Feb 25, 2016 | F | 4,167 | $56.1135 | D | 102,565 | D | |
| Common StockF4,F3 | Feb 25, 2016 | S | 4,634 | $56.1135 | D | 97,931 | D | |
| Common StockF5 | holding | — | — | — | 329,397 | I | See |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents the difference between performance shares, with a three year performance period, that were granted on March 11, 2013 and actual shares earned at the end of the performance period on December 31, 2015. Final shares were approved by the Compensation Committee on February 23, 2016.
- F2Represents securities delivered in payment of a tax liability with respect to vesting of securities issued in accordance with Rule 16b-3.
- F3Represents the weighted average sale price of multiple open market same day sales with prices ranging from $55.97 to $56.6125 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.
- F4Represents securities with respect to vesting of securities issued in accordance with Rule 16b-3.
- F5Shares are owned by a trust of which the reporting person is a trustee.