SEC Form 4 · accession 0001379041-16-000316
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
Apr 21, 2016
Accepted (ET)
Apr 25, 2016 · 4:40 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 $0.01F1 | Apr 21, 2016 | M | 3,800 | $15.31 | A | 303,902 | D | |
| Common Stock, par value $0.01F1,F2 | Apr 21, 2016 | S | 3,800 | $28.55 | D | 300,102 | D | |
| Common Stock, par value $0.01F1 | Apr 22, 2016 | M | 16,494 | $15.31 | A | 316,596 | D | |
| Common Stock, par value $0.01F1,F2 | Apr 22, 2016 | S | 16,494 | $28.53 | D | 300,102 | 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)F1,F3 | $15.31 | Apr 21, 2016 | M | 3,800 | D | — | Mar 30, 2017 | Common Stock, par value $0.01 | 3,800 | 54,126 | D |
| Employee Stock Option (right to buy)F1,F3 | $15.31 | Apr 22, 2016 | M | 16,494 | D | — | Mar 30, 2017 | Common Stock, par value $0.01 | 16,494 | 37,632 | D |
Explanation of responses
- F1The options exercised were part of a 10b5-1 plan filed by the officer.
- F2The 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.
- F3The option is fully vested and immediately exercisable.