SEC Form 4 · accession 0001379041-17-000002
Employers Holdings, Inc. · EIG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John P Nelson
Officer — EVP, Chief Admin Officer
Period of report
Jan 3, 2017
Accepted (ET)
Jan 4, 2017 · 12:24 pm EST
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 | Jan 3, 2017 | M | 14,000 | $17.02 | A | 28,434 | D | |
| Common Stock, par value $0.01F1 | Jan 3, 2017 | S | 14,000 | $39.63 | D | 14,434 | D | |
| Common StockF2 | holding | — | — | — | 49,631 | I | John P. Nelson and Shelli-Marie Nelson Family Trust |
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 | $17.02 | Jan 3, 2017 | M | 14,000 | D | — | Mar 16, 2019 | Common Stock, par value $0.01 | 14,000 | 0 | D |
Explanation of responses
- F1The options exercised were part of a 10b5-1 plan filed by the officer.
- F249,631 shares of Common Stock were previously reported as directly owned.
- F3The option is fully vested and immediately exercisable.