SEC Form 4 · accession 0001140361-16-046810
KINGSTONE COMPANIES, INC. · KINS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jack D Seibald
Director
Period of report
Jan 4, 2016
Accepted (ET)
Jan 6, 2016 · 10:05 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 StockF1,F2 | Jan 4, 2016 | A | 2,000 | $0.00 | A | 135,323 | D | |
| Common Stock | holding | — | — | — | 174,824 | I | Retirement Trust | |
| Common StockF3 | holding | — | — | — | 4,600 | I | See footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Received as director fees. Vests to the extent of 667 shares on each of January 4, 2017 and 2018 and 666 shares on January 4, 2019.
- F2Includes 113,000 shares jointly owned with Mr. Seibald's wife.
- F3Shares are owned by a limited partnership. Mr. Seibald may be deemed to have an indirect pecuniary interest in 100 shares owned by the limited partnership based upon his status as a general partner of the limited partnership and may be deemed to have an indirect pecuniary interest in an additional 4,500 shares owned by the limited partnership based upon his wife's status as a limited partner of the limited partnership. The filing of this form shall not be deemed an admission that Mr. Seibald is, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the beneficial owner of any shares owned by the limited partnership.
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.