SEC Form 5 · accession 0001365555-16-000291
Amtrust Financial Services, Inc. · AFSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Leah Karfunkel
Director · 10% Owner
Period of report
Dec 31, 2015
Accepted (ET)
Jun 20, 2016 · 4:23 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 StockF2,F3 | Mar 31, 2015 | G | 164,856 | $0.00 | D | 9,864,781 | I | By Family Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares distributed from the Michael Karfunkel 2005 Grantor Retained Annuity Trust to Michael Karfunkel.
- F2On February 2, 2016, the common stock of AmTrust Financial Services, Inc. split two-for-one, resulting in the ownership of 9,864,781 additional shares of common stock. This is not reflected in this Form 5, which reports the transaction as of March 31, 2015 and the ownership as of the end of the Issuer's 2015 fiscal year.
- F3At the time of this transaction, shares were held indirectly by the reporting owner as sole trustee and beneficiary of the Michael Karfunkel 2005 Grantor Retained Annuity Trust. On July 28, 2015, the Michael Karfunkel 2005 Grantor Retained Annuity Trust distributed all of its shares of Common Stock by its terms to the Michael Karfunkel Family 2005 Trust. The reporting person is co-trustee and a beneficiary of the Michael Karfunkel Family 2005 Trust.