SEC Form 4 · accession 0001365555-16-000284

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, 2016

Accepted (ET)

May 25, 2016 · 4:46 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
Common Stock^F1,F2,F3	May 23, 2016	M	2,084	$0.00	A	21,190	D
Common Stock^F4	May 23, 2016	F	1,075	$26.16	D	20,115	D
Common Stock^F5,F6	May 23, 2016	M	6,824	$0.00	A	26,939	D
Common Stock^F7	May 23, 2016	F	3,520	$26.16	D	23,419	D
Common Stock^F8,F9	May 23, 2016	M	11,064	$0.00	A	34,483	D
Common Stock^F10	May 23, 2016	F	5,706	$26.16	D	28,777	D
Common Stock^F11,F12	May 23, 2016	M	7,310	$0.00	A	36,087	D
Common Stock^F13	May 23, 2016	F	3,770	$26.16	D	32,317	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 Units^F14,F15	—	May 23, 2016	M	2,084	D	—	—	Common Stock	2,084	0	D
Restricted Stock Units^F14,F16	—	May 23, 2016	M	6,824	D	—	—	Common Stock	6,824	6,824	D
Restricted Stock Units^F14,F17	—	May 23, 2016	M	11,064	D	—	—	Common Stock	11,064	22,128	D
Restricted Stock Units^F14,F18	—	May 23, 2016	M	7,310	D	—	—	Common Stock	7,310	21,926	D
Restricted Stock Units^F14,F19	—	May 23, 2016	A	38,227	A	—	—	Common Stock	38,227	38,227	D

Explanation of responses

F1As a result of AmTrust Financial Services, Inc.'s two-for-one stock split, 1,042 restricted stock units granted to the reporting person on May 23, 2012 that had not yet vested on February 2, 2016 became 2,084 restricted stock units.
F10Disposition 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.
F11As a result of AmTrust Financial Services, Inc.'s two-for-one stock split, 14,618 restricted stock units granted to the reporting person on May 23, 2015 that had not yet vested on February 2, 2016 became 29,236 restricted stock units.
F12Acquisition of common stock resulting from the vesting of one-fourth of the restricted stock units granted to Mr. Karkowsky on May 23, 2015.
F13Disposition 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, 2015.
F14Each restricted stock unit represents a contingent right to receive one share of AmTrust Financial Services, Inc.'s common stock.
F15On 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.
F16On 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.
F17On 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.
F18On 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.
F19On May 23, 2016, 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.
F2Acquisition of common stock resulting from the vesting of one-fourth of the restricted stock units granted to Mr. Karkowsky on May 23, 2012.
F3On February 2, 2016, the common stock of AmTrust Financial Services, Inc. split two-for-one, resulting in the reporting person's ownership of 9,553 additional shares of common stock.
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, 2012.
F5As a result of AmTrust Financial Services, Inc.'s two-for-one stock split, 6,824 restricted stock units granted to the reporting person on May 23, 2013 that had not yet vested on February 2, 2016 became 13,648 restricted stock units.
F6Acquisition of common stock resulting from the vesting of one-fourth of the restricted stock units granted to Mr. Karkowsky on May 23, 2013.
F7Disposition 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.
F8As a result of AmTrust Financial Services, Inc.'s two-for-one stock split, 16,596 restricted stock units granted to the reporting person on May 23, 2014 that had not yet vested on February 2, 2016 became 33,192 restricted stock units.
F9Acquisition of common stock resulting from the vesting of one-fourth of the restricted stock units granted to Mr. Karkowsky on May 23, 2014.