SEC Form 4 · accession 0001140361-15-002086
KINGSTONE COMPANIES, INC. · KINS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Barry Goldstein
Officer — President, COB, CEO · Director · 10% Owner
Period of report
Jan 19, 2015
Accepted (ET)
Jan 20, 2015 · 9:52 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000033992
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jan 19, 2015 | M | 30,000 | $2.50 | A | 832,393 | D | |
| Common Stock | Jan 19, 2015 | F | 17,347 | $8.07 | D | 815,046 | D | |
| Common Stock | holding | — | — | — | 35,000 | I | Retirement Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OptionF1 | $2.50 | Jan 19, 2015 | M | 30,000 | D | — | Mar 24, 2015 | Common Stock | 30,000 | 90,000 | D |
| OptionF2 | $6.73 | holding | — | — | — | — | Aug 12, 2019 | Common Stock | 200,000 | 200,000 | D |
Explanation of responses
- F1The option is currently exercisable.
- F2The option is exercisable to the extent of 62,500 shares on each of August 12, 2014, 2015 and 2016, and 12,500 shares on August 12, 2017.
Remarks
This filing shall not be deemed an admission that the Reporting Person is, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the beneficial owner of any equity securities covered by this statement.