SEC Form 4 · accession 0001365555-15-000004
Amtrust Financial Services, Inc. · AFSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ronald E Pipoly Jr.
Officer — EVP, Chief Financial Officer
Period of report
Jan 2, 2015
Accepted (ET)
Jan 5, 2015 · 4:01 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001365555
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jan 2, 2015 | M | 17,734 | $5.79 | A | 286,401 | D | |
| Common StockF1 | Jan 2, 2015 | M | 5,060 | $12.0249 | A | 291,461 | D | |
| Common StockF1 | Jan 2, 2015 | M | 5,044 | $11.55 | A | 296,505 | D | |
| Common StockF1,F2,F3 | Jan 2, 2015 | S | 14,393 | $56.029 | D | 282,112 | D | |
| Common StockF1,F2,F4 | Jan 2, 2015 | S | 481 | $56.6358 | D | 281,631 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option | $5.79 | Jan 2, 2015 | M | 17,734 | D | Feb 9, 2007 | Feb 9, 2016 | Common Stock | 17,734 | 0 | D |
| Stock Option | $12.0249 | Jan 2, 2015 | M | 5,060 | D | Oct 24, 2008 | Oct 24, 2017 | Common Stock | 5,060 | 0 | D |
| Stock Option | $11.55 | Jan 2, 2015 | M | 5,044 | D | Aug 25, 2009 | Aug 25, 2018 | Common Stock | 5,044 | 0 | D |
Explanation of responses
- F1The transactions reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on November 10, 2014.
- F2Shares sold to satisfy income tax withholding liabilities and payment of the option exercise price.
- F3The price included in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $55.59 to $56.58 per share, inclusive. The reporting person undertakes to provide to AmTrust Financial Services, Inc. or any of its security holders, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote 3.
- F4The price included in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $56.60 to $56.72 per share, inclusive. The reporting person undertakes to provide to AmTrust Financial Services, Inc. or any of its security holders, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote 4.