SEC Form 4 · accession 0001379041-15-000129
Employers Holdings, Inc. · EIG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Douglas D Dirks
Officer — President & CEO · Director
Period of report
May 20, 2015
Accepted (ET)
May 22, 2015 · 3:14 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001379041
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.01 | May 20, 2015 | M | 30,000 | $19.21 | A | 318,506 | D | |
| Common Stock, par value $0.01F1 | May 20, 2015 | D | 30,000 | $24.25 | D | 288,506 | D | |
| Common Stock, par value $0.01 | May 21, 2015 | M | 10,000 | $19.21 | A | 298,506 | D | |
| Common Stock, par value $0.01F1 | May 21, 2015 | D | 10,000 | $24.01 | D | 288,506 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy)F2 | $19.21 | May 20, 2015 | M | 30,000 | D | — | May 28, 2015 | Common Stock, par value $0.01 | 30,000 | 10,000 | D |
| Employee Stock Option (right to buy)F2 | $19.21 | May 21, 2015 | M | 10,000 | D | — | May 28, 2015 | Common Stock, par value $0.01 | 10,000 | 0 | D |
Explanation of responses
- F1The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions. The reporting person undertakes to provide to Employers Holdings, Inc.("EHI"), any security holder of EHI 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 range set forth in this footnote.
- F2The option is fully vested and immediately exercisable.