SEC Form 5 · accession 0001209191-17-010138
NAVIGATORS GROUP INC · NAVG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Monica Deeks
10% Owner
Period of report
Dec 31, 2016
Accepted (ET)
Feb 13, 2017 · 5:56 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000793547
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock par value $.10 per shareF1,F2 | Mar 18, 2016 | G | 55,525 | $0.00 | D | 3,715,124 | I | See Footnote |
| Common Stock par value $.10 per shareF3,F2 | Mar 18, 2016 | G | 244,527 | $0.00 | D | 3,715,124 | I | See Footnote |
| Common Stock par value $.10 per shareF4,F2 | Apr 27, 2016 | G | 714,579 | $0.00 | A | 3,715,124 | I | See Footnote |
| Common Stock par value $.10 per shareF5,F2 | Dec 16, 2016 | G | 5,000 | $0.00 | D | 3,715,124 | I | See Footnote |
| Common Stock par value $.10 per shareF6,F2 | Dec 31, 2016 | G | 157,801 | $0.00 | D | 3,715,124 | I | See Footnote |
| Common Stock par value $.10 per shareF7,F2 | Dec 31, 2016 | G | 179,536 | $0.00 | D | 3,715,124 | I | See Footnote |
| Common Stock par value $.10 per shareF8,F2,F9 | Dec 31, 2016 | G | 117,523 | $0.00 | D | 3,715,124 | I | See Footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents distribution in kind to Terence N. Deeks by the Terence N. Deeks 2013 Qualified Three Year Annuity Trust (the "2013Trust"), of which the Reporting Person was trustee.
- F2Includes 2,631,826 shares held by the Trusts as of December 31, 2016, 56,400 shares owned jointly with the Reporting Person's husband, Terence N. Deeks, and 51,000 shares held by the Deeks Family Foundation (the "Foundation"). Includes 975,898 shares held by the Reporting Person's spouse directly. The Reporting Person disclaims beneficial ownership of the shares held by the Trusts and the Foundation except to the extent of any pecuniary interest she may be deemed to hold therein.
- F3Represents distribution in kind by the 2013 Trust to trusts for the benefit of Reporting Person's children or grandchildren.
- F4Represents gift by the Reporting Person to the Terence N. Deeks 2016 Qualified Three Year Annuity Trust (the "2016 Trust"), of which the Reporting Person is trustee.
- F5Represents a gift to the Deeks Family Foundation (the "Foundation").
- F6Represents distribution in kind to Terence N. Deeks by the Terence N. Deeks 2014 Qualified Three Year Annuity Trust (the "2014 Trust"), of which the Reporting Person is trustee.
- F7Represents distribution in kind to Terence N. Deeks by the Terence N. Deeks 2015 Qualified Three Year Annuity Trust (the "2015 Trust"), of which the Reporting Person is trustee.
- F8Represents distribution in kind to the 2016 Trust, of which the Reporting Person is trustee.
- F9On December 6, 2016, the Board of Directors of the Issuer declared a stock dividend, payable to all holders of record of common stock on December 30, 2016, of one share of common stock for each share of common stock outstanding. As a result, the reported amount of securities beneficially owned includes 1,857,562 shares that the Reporting Person received on January 20, 2017.