SEC Form 4 · accession 0001379041-17-000139
Employers Holdings, Inc. · EIG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael D Rumbolz
Director
Period of report
May 24, 2017
Accepted (ET)
May 26, 2017 · 4:39 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 | May 25, 2017 | A | 1,486 | $0.00 | A | 28,104 | D | |
| Common Stock, par value $0.01 | holding | — | — | — | 21,011 | I | By Michael and Geri Rumbolz Living Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Dividend Equivalent RightsF2 | — | May 24, 2017 | A | 55 | A | — | — | Common Stock, par value $0.01 | 55 | 709 | D |
Explanation of responses
- F1Represents restricted stock units that vest on May 25, 2018.
- F2The dividend equivalent rights ("DERs") accrued on vested restricted stock units ("RSUs") previously granted to the reporting person where the reporting person has voluntarily deferred delivery of such RSUs until six months following termination of service on the board of directors. The DERs become exercisable proportionately with the RSUs to which they relate. Each DER is the economic equivalent of one share of common stock of Employers Holdings, Inc.