SEC Form 4 · accession 0001379041-16-000395
Employers Holdings, Inc. · EIG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ann W Nelson
Officer — EVP, Corp. & Public Affairs
Period of report
Oct 5, 2016
Accepted (ET)
Oct 7, 2016 · 5:50 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 | Oct 5, 2016 | M | 20,458 | $15.31 | A | 62,660 | D | |
| Common Stock, par value $0.01F1 | Oct 5, 2016 | S | 20,458 | $30.00 | D | 42,202 | 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,F2 | $15.31 | Oct 5, 2016 | M | 20,458 | D | — | Mar 30, 2017 | Common Stock, par value $0.01 | 20,458 | 0 | D |
Explanation of responses
- F1The options exercised were part of a 10b5-1 plan filed by the officer.
- F2The option is fully vested and immediately exercisable.