SEC Form 5 · accession 0000356130-16-000181
EMC INSURANCE GROUP INC · EMCI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Bruce G Kelley
Officer — President & CEO · Director
Period of report
Dec 31, 2015
Accepted (ET)
Feb 12, 2016 · 10:54 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000356130
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| EMCI-Common StockF1 | Jun 23, 2015 | J | 73,178 | $0.00 | A | 219,534 | D | |
| EMCI-Common StockF1 | Jun 23, 2015 | J | 750 | $0.00 | A | 2,250 | I | Spouse |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NQO Right To BuyF1 | $15.6447 | Jun 23, 2015 | J | 13,500 | A | Mar 5, 2009 | Mar 5, 2018 | Common Stock | 13,500 | 40,500 | D |
| NQO Right To BuyF1 | $12.5767 | Jun 23, 2015 | J | 9,000 | A | Mar 3, 2010 | Mar 3, 2019 | Common Stock | 9,000 | 27,000 | D |
| NQO Right To BuyF1 | $13.7833 | Jun 23, 2015 | J | 9,000 | A | Mar 1, 2011 | Mar 1, 2020 | Common Stock | 9,000 | 27,000 | D |
| NQO Right To BuyF1 | $16.27 | Jun 23, 2015 | J | 9,000 | A | Mar 1, 2012 | Mar 1, 2021 | Common Stock | 9,000 | 27,000 | D |
| NQO Right To BuyF1 | $13.9887 | Jun 23, 2015 | J | 4,500 | A | Mar 1, 2013 | Mar 1, 2022 | Common Stock | 4,500 | 13,500 | D |
Explanation of responses
- F1Holdings adjusted to reflect 3 for 2 stock split effected by a stock dividend paid on June 23, 2015