SEC Form 5 · accession 0001140361-18-000213
KINGSTONE COMPANIES, INC. · KINS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Barry Goldstein
Officer — President, COB, CEO · Director
Period of report
Dec 31, 2017
Accepted (ET)
Jan 2, 2018 · 5:05 pm 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 | Jun 16, 2017 | G | 750 | — | D | 600,404 | D | |
| Common StockF2 | Jun 26, 2017 | G | 2,500 | — | D | 600,404 | D | |
| Common StockF2 | Dec 8, 2017 | G | 1,000 | — | D | 600,404 | D | |
| Common StockF3 | Dec 8, 2017 | G | 2,500 | — | D | 600,404 | D | |
| Common StockF3 | Dec 20, 2017 | G | 2,500 | — | D | 600,404 | D | |
| Common StockF4 | Dec 26, 2017 | G | 750 | — | D | 600,404 | D | |
| Common StockF5 | Dec 27, 2017 | G | 600 | — | D | 600,404 | D | |
| Common Stock | holding | — | — | — | 73,168 | I | Held by Spouse |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OptionF6 | $6.73 | holding | — | — | — | — | Aug 12, 2019 | Common Stock | 250,000 | 250,000 | D |
Explanation of responses
- F1Charitable gift to UJA Federation.
- F2Charitable gift to University of Buffalo Foundation.
- F3Charitable gift to Englewood Hospital and Medical Center Foundation.
- F4Charitable gift to Independent Insurance Agents and Brokers Foundation.
- F5Charitable gift to South Nassau Communities Hospital.
- F6The option is exercisable to the extent of 62,500 shares on each of August 12, 2014, 2015, 2016 and 2017.