SEC Form 4 · accession 0001465668-16-000004
National Western Life Group, Inc. · NWLI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
E J Pederson
Director
Period of report
Dec 6, 2016
Accepted (ET)
Dec 8, 2016 · 5:07 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001635984
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common Stock | Dec 6, 2016 | M | 200 | $132.56 | A | 210 | D | |
| Class A Common Stock | Dec 6, 2016 | M | 400 | $210.22 | A | 610 | D | |
| Class A Common Stock | Dec 6, 2016 | D | 600 | $292.65 | D | 10 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation RightsF1 | $132.56 | Dec 6, 2016 | M | 200 | D | Dec 14, 2012 | Dec 14, 2021 | Class A Common Stock | 200 | 0 | D |
| Stock Appreciation RightsF1 | $210.22 | Dec 6, 2016 | M | 400 | D | Dec 11, 2014 | Dec 11, 2023 | Class A Common Stock | 400 | 0 | D |
Explanation of responses
- F1The SARs are exercisable as they vest. The SARs vest in five equal annual installments beginning on the Date Exercisable.