SEC Form 5 · accession 0000356130-16-000187
EMC INSURANCE GROUP INC · EMCI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard W Hoffmann
Officer — V.P., Gen. Counsel & Secretary
Period of report
Dec 31, 2015
Accepted (ET)
Feb 16, 2016 · 8:51 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 | 4,270 | $0.00 | A | 12,711 | D | |
| EMCI-Common StockF1 | Jun 23, 2015 | J | 205 | $0.00 | A | 615 | I | Spouse |
| EMCI Common StockF1,F2 | Jun 23, 2015 | J | 45 | $0.00 | A | 135 | I | Spouse |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ISO Right To BuyF1 | $16.97 | Jun 23, 2015 | J | 1,125 | A | Mar 9, 2008 | Mar 9, 2017 | Common Stock | 1,125 | 3,375 | D |
| NQO Right To BuyF1 | $12.5767 | Jun 23, 2015 | J | 2,250 | A | Mar 3, 2010 | Mar 3, 2019 | Common Stock | 2,250 | 6,750 | D |
| NQO Right To BuyF1 | $13.7833 | Jun 23, 2015 | J | 282 | A | Mar 1, 2011 | Mar 1, 2020 | Common Stock | 282 | 845 | D |
| NQO Right To BuyF1 | $16.27 | Jun 23, 2015 | J | 563 | A | Mar 1, 2012 | Mar 1, 2021 | Common Stock | 563 | 1,688 | D |
| NQO Right To BuyF1 | $13.9867 | Jun 23, 2015 | J | 750 | A | Mar 1, 2013 | Mar 1, 2022 | Common Stock | 750 | 2,250 | D |
| ISO Right To BuyF1 | $15.6447 | Jun 23, 2015 | J | 1,250 | A | Mar 5, 2009 | Mar 5, 2018 | Common Stock | 1,250 | 3,750 | I |
| NQO Right To BuyF1 | $12.5767 | Jun 23, 2015 | J | 375 | A | Mar 3, 2010 | Mar 3, 2019 | Common Stock | 375 | 1,125 | I |
| NQO Right To BuyF1 | $13.7833 | Jun 23, 2015 | J | 188 | A | Mar 1, 2011 | Mar 1, 2020 | Common Stock | 188 | 563 | I |
| NQO Right To BuyF1 | $16.27 | Jun 23, 2015 | J | 188 | A | Mar 1, 2012 | Mar 1, 2021 | Common Stock | 188 | 563 | I |
| NQO Right To BuyF1 | $13.9867 | Jun 23, 2015 | J | 375 | A | Mar 1, 2013 | Mar 1, 2022 | Common Stock | 375 | 1,125 | I |
Explanation of responses
- F1Holdings adjusted to reflect 3 for 2 stock split effected by a stock dividend paid on June 23, 2015
- F2Indirect beneficial ownership: Spouse as custodian for son under U.T.M.A. (Iowa).