SEC Form 4 · accession 0001365555-18-000189
Amtrust Financial Services, Inc. · AFSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
George Karfunkel
Director · 10% Owner
Period of report
Nov 29, 2018
Accepted (ET)
Dec 3, 2018 · 4:09 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 StockF1 | Nov 29, 2018 | D | 19,342,572 | — | D | 0 | D | |
| Common StockF1 | Nov 29, 2018 | D | 880,000 | — | D | 0 | I | Trust |
| Common StockF1,F2 | Nov 29, 2018 | D | 12,215,836 | — | D | 0 | I | By charitable foundation |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Pursuant to the Rollover Agreement dated as of March 1, 2018, among the reporting person and Evergreen Parent, L.P. ("Parent"), the reporting person agreed to contribute these shares to Parent (the "Rollover") in exchange for common limited partnership interests in Parent, effective as of the effective time of the merger contemplated by 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., Parent and Evergreen Merger Sub, Inc. For purposes of the Rollover, the reporting person's shares were valued at $13.50 per share.
- F2Shares held by Chesed Foundation, a charitable foundation controlled by the Reporting Person.