SEC Form 4 · accession 0001365555-15-000111
Amtrust Financial Services, Inc. · AFSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Adam Karkowsky
Officer — Executive Vice President
Period of report
May 23, 2015
Accepted (ET)
May 26, 2015 · 5:13 pm EDT
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 | May 23, 2015 | M | 1,042 | $0.00 | A | 5,455 | D | |
| Common StockF2 | May 23, 2015 | F | 538 | $59.86 | D | 4,917 | D | |
| Common StockF3 | May 23, 2015 | M | 3,412 | $0.00 | A | 8,329 | D | |
| Common StockF4 | May 23, 2015 | F | 1,760 | $59.86 | D | 6,569 | D | |
| Common StockF5 | May 23, 2015 | M | 5,533 | $0.00 | A | 12,102 | D | |
| Common StockF6 | May 23, 2015 | F | 2,549 | $59.86 | D | 9,553 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF7,F8 | — | May 23, 2015 | M | 1,042 | D | — | — | Common Stock | 1,042 | 1,042 | D |
| Restricted Stock UnitsF7,F9 | — | May 23, 2015 | M | 3,412 | D | — | — | Common Stock | 3,412 | 6,824 | D |
| Restricted Stock UnitsF7,F10 | — | May 23, 2015 | M | 5,533 | D | — | — | Common Stock | 5,533 | 16,596 | D |
| Restricted Stock UnitsF7,F11 | — | May 23, 2015 | A | 14,618 | A | — | — | Common Stock | 14,618 | 14,618 | D |
Explanation of responses
- F1Acquisition of common stock resulting from the vesting of one-fourth of the restricted stock units granted to Mr. Karkowsky on May 23, 2012.
- F10On May 23, 2014, Mr. Karkowsky received restricted stock units subject to a four-year vesting schedule, vesting 25% on the first, second, third and fourth anniversaries of the grant date. As restricted stock units vest, the vested units are automatically converted to vested common stock on a one-for-one basis on the vesting date.
- F11On May 23, 2015, Mr. Karkowsky received restricted stock units subject to a four-year vesting schedule, vesting 25% on the first, second, third and fourth anniversaries of the grant date. As restricted stock units vest, the vested units are automatically converted to vested common stock on a one-for-one basis on the vesting date.
- F2Disposition of common stock resulting from the withholding of securities for the payment of tax liability relating to the vesting of one-fourth of the restricted stock units granted to Mr. Karkowsky on May 23, 2012.
- F3Acquisition of common stock resulting from the vesting of one-fourth of the restricted stock units granted to Mr. Karkowsky on May 23, 2013.
- F4Disposition of common stock resulting from the withholding of securities for the payment of tax liability relating to the vesting of one-fourth of the restricted stock units granted to Mr. Karkowsky on May 23, 2013.
- F5Acquisition of common stock resulting from the vesting of one-fourth of the restricted stock units granted to Mr. Karkowsky on May 23, 2014.
- F6Disposition of common stock resulting from the withholding of securities for the payment of tax liability relating to the vesting of one-fourth of the restricted stock units granted to Mr. Karkowsky on May 23, 2014.
- F7Each restricted stock unit represents a contingent right to receive one share of AmTrust Financial Services, Inc.'s common stock.
- F8On May 23, 2012, Mr. Karkowsky received restricted stock units subject to a four-year vesting schedule, vesting 25% on the first, second, third and fourth anniversaries of the grant date. As restricted stock units vest, the vested units are automatically converted to vested common stock on a one-for-one basis on the vesting date.
- F9On May 23, 2013, Mr. Karkowsky received restricted stock units subject to a four-year vesting schedule, vesting 25% on the first, second, third and fourth anniversaries of the grant date. As restricted stock units vest, the vested units are automatically converted to vested common stock on a one-for-one basis on the vesting date.