SEC Form 4 · accession 0001179110-17-003345
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
Feb 22, 2017
Accepted (ET)
Feb 27, 2017 · 8:52 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 22, 2017 | A | 1,530 | $0.00 | A | 25,174 | D | |
| Common StockF2 | Feb 22, 2017 | A | 1,835 | $0.00 | A | 27,009 | D | |
| Common StockF3 | Feb 22, 2017 | J | 59 | $0.00 | D | 26,950 | D | |
| Common StockF4,F5 | Feb 27, 2017 | F | 1,373 | $71.4537 | D | 25,577 | D | |
| Common StockF4,F6 | Feb 27, 2017 | F | 91 | $72.2813 | D | 25,486 | D | |
| Common StockF7 | holding | — | — | — | 35,449 | I | See | |
| Common StockF8 | holding | — | — | — | 36,000 | I | See |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents restricted stock awards effective February 22, 2017, with respect to which sale or transfer rights shall vest over three years with installments of 30% on February 22, 2018, 30% on February 22, 2019, and the remaining 40% on February 22, 2020, provided the grantee meets certain employment conditions.
- F2Represents restricted stock awards granted effective February 22, 2017 with respect to which sale or transfer rights will vest over a three-year performance period commencing on January 1, 2017 and ending on December 31, 2019. Vesting of these shares is dependent upon the attainment of pre-established performance objectives, and any difference between shares granted and shares earned at the end of the performance period will be reported at the conclusion of the performance period in 2020.
- F3Represents the difference between performance shares, with a three year performance period, that were granted on March 11, 2014 and actual shares earned at the end of the performance period on December 31, 2016. Final shares were approved by the Compensation Committee on February 22, 2017.
- F4Represents securities delivered in payment of a tax liability with respect to vesting of securities issued in accordance with Rule 16b-3.
- F5Represents the weighted average sale price of multiple open market same day sales with prices ranging from $71.05 to $72.05 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.
- F6Represents the weighted average sale price of multiple open market same day sales with prices ranging from $72.10 to $72.40 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.
- F735,449 shares are owned by a trust of which the reporting person is a trustee.
- F836,000 shares are owned by a trust of which the reporting person's spouse is a trustee.