SEC Form 4 · accession 0001179110-17-015939
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
Dec 28, 2017
Accepted (ET)
Dec 29, 2017 · 4:27 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 Stock | Dec 28, 2017 | S$0 | 0 | $0.00 | D | 22,925 | D | |
| Common StockF1,F2 | Dec 28, 2017 | S | 7,000 | $80.30 | D | 28,449 | I | See |
| Common StockF3 | holding | — | — | — | 36,000 | I | See |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents the weighted average sale price of multiple open market same day sales with prices ranging from $80.15 to $80.50 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.
- F228,449 shares are owned by a trust of which the reporting person is a trustee.
- F336,000 shares are owned by a trust of which the reporting person's spouse is a trustee.