SEC Form 4 · accession 0001379041-19-000005
Employers Holdings, Inc. · EIG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Lenard T Ormsby
Officer — EVP, Chief Legal Officer
Period of report
Jan 2, 2019
Accepted (ET)
Jan 4, 2019 · 4:36 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 $0.01 | Jan 2, 2019 | F | 1,840 | $41.26 | D | 17,841 | D | |
| Common Stock, par value $0.01F1 | Jan 2, 2019 | D | 3,319 | $0.00 | D | 14,522 | D | |
| Common Stock, par value $0.01 | holding | — | — | — | 69,425 | I | Ormsby 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)F2 | $24.20 | Jan 2, 2019 | J | 975 | D | — | Mar 10, 2022 | Common Stock, par value $0.01 | 975 | 6,825 | D |
| Employee Stock Option (right to buy)F3 | $27.72 | Jan 2, 2019 | J | 1,773 | D | — | Mar 14, 2023 | Common Stock, par value $0.01 | 1,773 | 5,319 | D |
Explanation of responses
- F1As a result of retirement as an executive of the Company on January 2, 2019, the Reporting Person forfeited 3,319 restricted stock units that were subject to time-based vesting.
- F2As a result of retirement as an executive of the Company on January 2, 2019, the Reporting Person forfeited the option to purchase 975 shares of common stock.
- F3As a result of retirement as an executive of the Company on January 2, 2019, the Reporting Person forfeited the option to purchase 1,773 shares of common stock.