SEC Form 4 · accession 0001365555-16-000330
Amtrust Financial Services, Inc. · AFSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Saks
Officer — EVP, Chief Legal Officer
Period of report
Sep 9, 2016
Accepted (ET)
Sep 13, 2016 · 8:29 am 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,F2 | Sep 9, 2016 | M | 3,602 | $0.00 | A | 106,350 | D | |
| Common StockF3 | Sep 9, 2016 | F | 1,868 | $26.36 | D | 104,482 | 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 UnitsF4,F5 | — | Sep 9, 2016 | M | 3,602 | D | — | — | Common Stock | 3,602 | 3,602 | D |
Explanation of responses
- F1As a result of AmTrust Financial Services, Inc.'s two-for-one stock split, 3,602 restricted stock units granted to the reporting person on September 9, 2013 that had not yet vested on February 2, 2016 became 7,204 restricted stock units.
- F2Acquisition of common stock resulting from the vesting of one-fourth of the restricted stock units granted to Mr. Saks on September 9, 2013.
- F3Disposition 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. Saks on September 9, 2013.
- F4Each restricted stock unit represents a contingent right to receive one share of AmTrust Financial Services, Inc.'s common stock.
- F5On September 9, 2013, Mr. Saks 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.