SEC Form 4 · accession 0001365555-18-000183
Amtrust Financial Services, Inc. · AFSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ariel Gorelik
Officer — SVP, Chief Information Officer
Period of report
Nov 29, 2018
Accepted (ET)
Dec 3, 2018 · 9:27 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001365555
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF2,F1,F3 | — | Nov 29, 2018 | D | 312 | D | — | — | Common Stock | 312 | 0 | D |
| Restricted Stock UnitsF2,F1,F4 | — | Nov 29, 2018 | D | 1,433 | D | — | — | Common Stock | 1,433 | 0 | D |
| Restricted Stock UnitsF2,F1,F5 | — | Nov 29, 2018 | D | 10,776 | D | — | — | Common Stock | 10,776 | 0 | D |
| Restricted Stock UnitsF2,F1,F6 | — | Nov 29, 2018 | D | 16,065 | D | — | — | Common Stock | 16,065 | 0 | D |
Explanation of responses
- F1When granted, each restricted stock unit represented a contingent right to receive one share of AmTrust Financial Services, Inc.'s common stock.
- F2Pursuant to the Agreement and Plan of Merger, dated as of March 1, 2018 and as amended June 6, 2018, by and among AmTrust Financial Services, Inc., Evergreen Parent, L.P. and Evergreen Merger Sub, Inc. (the "Merger Agreement"), each outstanding restricted stock unit was canceled and converted into a right to receive on the vesting date originally applicable to such restricted stock unit, subject to the terms applicable to such restricted stock unit, a cash payment equal to $14.75 per share, without interest, less any applicable withholding taxes, multiplied by the number of restricted stock units vesting on that vesting date.
- F3On May 23, 2015, Mr. Gorelik 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.
- F4On May 23, 2016, Mr. Gorelik 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.
- F5On May 23, 2017, Mr. Gorelik 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.
- F6On March 27, 2018, Mr. Gorelik received restricted stock units subject to a four-year vesting schedule, vesting on each March 5th of the first, second, third and fourth years following the grant date.