SEC Form 4 · accession 0001179110-19-002964
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 26, 2019
Accepted (ET)
Mar 4, 2019 · 6:07 am 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 26, 2019 | A | 1,216 | $0.00 | A | 13,013 | D | |
| Common StockF2 | Feb 26, 2019 | A | 1,394 | $0.00 | A | 14,407 | D | |
| Common StockF3 | Feb 26, 2019 | J | 2,266 | $0.00 | A | 16,673 | D | |
| Common StockF4 | holding | — | — | — | 40,585 | I | See | |
| Common StockF5 | 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 26, 2019, with respect to which sale or transfer rights shall vest over three years with installments of 30% on February 26, 2020, 30% on February 26, 2021, and the remaining 40% on February 26, 2022, provided the grantee meets certain employment conditions.
- F2Represents restricted stock awards granted effective February 26, 2019 with respect to which sale or transfer rights will vest over a three-year performance period commencing on January 1, 2019 and ending on December 31, 2021. 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 2022.
- F3Represents the difference between performance shares, with a three year performance period, that were granted on February 23, 2016 and actual shares earned at the end of the performance period on December 31, 2018. Final shares were approved by the Compensation Committee on February 26, 2019.
- F4Shares are owned by a trust of which the reporting person is a trustee.
- F5Shares are owned by a trust of which the reporting person's spouse is a trustee.