SEC Form 4 · accession 0001179110-16-022594
SAFETY INSURANCE GROUP INC · SAFT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David F Brussard
Director
Period of report
Mar 31, 2016
Accepted (ET)
Apr 1, 2016 · 8:44 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,F3 | Mar 31, 2016 | F | 2,963 | $57.3851 | D | 88,019 | D | |
| Common StockF1,F3 | Mar 31, 2016 | S | 3,293 | $57.3851 | D | 84,726 | D | |
| Common StockF4 | Mar 31, 2016 | J | 14,057 | $0.00 | D | 70,669 | D | |
| Common StockF5 | Mar 31, 2016 | A | 1,000 | $0.00 | A | 71,669 | D | |
| Common StockF6 | holding | — | — | — | 329,397 | I | See Footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents time-vesting securities awarded in 2015 and delivered in accordance with the terms of the Restricted Stock Plan wherein if during the Periods of Restriction, Termination of Service occurs (i) on or after the first anniversary of the Date of Grant and (ii) because of retirement after attaining age 62 with at least 10 years of service with the Company, the Periods of Restriction shall expire on the date of Termination of Service with respect to 100% of the Shares subject to remaining Periods of Restriction.
- F2Represents securities delivered in payment of a tax liability with respect to vesting of securities.
- F3Represents the weighted average sale price of multiple open market same day sales with prices ranging from $56.92 to $57.58 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 restricted stock granted in 2014 which is forfeited upon retirement as President and Chief Executive Officer.
- F5Represents restricted stock awarded effective March 31, 2016 as Chairman of the Board of Directors.
- F6Shares are owned by a trust of which the reporting person is a trustee.