SEC Form 4 · accession 0001365555-16-000348
Amtrust Financial Services, Inc. · AFSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Stephen Ungar
Officer — SVP, GC and Secretary
Period of report
Oct 17, 2016
Accepted (ET)
Oct 19, 2016 · 4:12 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,F2 | Oct 17, 2016 | S | 5,000 | $27.8166 | D | 159,518 | D | |
| Common Stock | Oct 19, 2016 | M | 2,778 | $6.2066 | A | 162,296 | D | |
| Common Stock | Oct 19, 2016 | M | 2,222 | $5.7734 | A | 164,518 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option | $6.2066 | Oct 19, 2016 | M | 2,778 | D | Feb 15, 2009 | Feb 15, 2018 | Common Stock | 2,778 | 0 | D |
| Stock OptionF3 | $5.7734 | Oct 19, 2016 | M | 2,222 | D | Aug 25, 2009 | Aug 25, 2018 | Common Stock | 2,222 | 42,382 | D |
Explanation of responses
- F1This transaction was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on June 16, 2016.
- F2The price included in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $27.71 to $27.96 per share, inclusive. The reporting person undertakes to provide to AmTrust Financial Services, Inc. or any of its security holders, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote 2.
- F3This option was previously reported as covering 22,302 shares at an exercise price of $11.5456 per share, but was adjusted to reflect the two-for-one stock split that occurred on February 2, 2016.