SEC Form 4/A · accession 0001365555-16-000293

Amtrust Financial Services, Inc. · AFSI

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Table I — non-derivative securities

Table II — derivative securities

Explanation of responses

• F1The Michael Karfunkel 2005 Grantor Retained Annuity Trust distributed 9,864,781 shares of Common Stock by its terms to the Michael Karfunkel Family 2005 Trust (the "Family Trust").
• F2The reporting person was the sole trustee and a beneficiary of the Michael Karfunkel 2005 Grantor Retained Annuity Trust
• F3On February 2, 2016, the common stock of AmTrust Financial Services, Inc. split two-for-one, resulting in the reporting person's indirect ownership as co-trustee of the Family Trust of 9,864,781 additional shares of Common Stock. This is not reflected in this Form 4/A, which reports the amount of shares impacted by the transaction and the resulting beneficial ownership as of the date of the original Form 4 filing.
• F4The reporting person is co-trustee and a beneficiary of the Family Trust, shares voting and dispositive power over 3,814,781 of the shares of Common Stock held by the Family Trust, and has sole voting and dispositive power over the remaining 6,050,000 shares of Common Stock held by the Family Trust.

Remarks

This amended Form 4 is being filed to correct the amount of securities impacted by and beneficially owned following the reported transaction. The original Form 4 stated 10,029,637 shares of Common Stock were distributed, acquired and beneficially owned, and that the reporting person shared voting and dispositive power over 3,979,637 shares of Common Stock held by the Family Trust. These amounts did not take into account a March 31, 2015 distribution of 164,856 shares of Common Stock from the Michael Karfunkel 2005 Grantor Retained Annuity Trust to Michael Karfunkel, as reported on a Form 5 filed by the reporting person on June 20, 2016