SEC Form 4 · accession 0001365555-16-000382
Amtrust Financial Services, Inc. · AFSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Abraham Gulkowitz
Director
Period of report
Dec 20, 2016
Accepted (ET)
Dec 22, 2016 · 4:17 pm EST
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 Stock | Dec 20, 2016 | M | 15,126 | $4.3637 | A | 50,100 | D | |
| Common StockF1 | Dec 20, 2016 | S | 15,126 | $27.70 | D | 34,974 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionF2 | $4.3637 | Dec 20, 2016 | M | 15,126 | D | Mar 8, 2008 | Mar 8, 2017 | Common Stock | 15,126 | 0 | D |
Explanation of responses
- F1The price included in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $27.67 to $27.79 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.
- F2This option was previously reported as covering 7,563 shares at an exercise price of $8.7274 per share, but was adjusted to reflect the two-for-one stock split that occurred on February 2, 2016.