SEC Form 4 · accession 0001251060-15-000004
DONEGAL GROUP INC · DGICA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donald H Nikolaus
Officer — See Remarks · Director · Other
Period of report
Jun 4, 2015
Accepted (ET)
Jun 5, 2015 · 9:49 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000800457
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common Stock | Jun 4, 2015 | M | 50,000 | $14.00 | A | 159,390 | D | |
| Class A Common Stock | Jun 4, 2015 | S | 50,000 | $14.80 | D | 109,390 | D | |
| Class A Common Stock | holding | — | — | — | 176,346 | I | 401(k) Plan | |
| Class A Common Stock | holding | — | — | — | 16,366 | I | Spouse | |
| Class A Common Stock | holding | — | — | — | 166,369 | I | Family Foundation | |
| Class A Common Stock | holding | — | — | — | 12,668 | I | Trust | |
| Class B Common Stock | holding | — | — | — | 130,210 | D | ||
| Class B Common Stock | holding | — | — | — | 51,706 | I | 401(k) Plan | |
| Class B Common Stock | holding | — | — | — | 589 | I | Spouse | |
| Class B Common Stock | holding | — | — | — | 3,938 | I | Family Foundation |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy) | $14.00 | Jun 4, 2015 | M | 50,000 | D | Mar 1, 2011 | Jul 15, 2015 | Class A Common Stock | 50,000 | 0 | D |
Explanation of responses
- F1Exercise of employee stock options under Rule 16b-3. As reported in Table II of this Form 4 Report, the exercise of options resulted in the acquisition of 50,000 shares of Class A Common Stock under Rule 16b-3, as reported in Table I of this Form 4 Report, which were concurrently sold, as reported in Table I of this Form 4 Report.
Remarks
Chairman of the Board and President. Reporting Person is President of Donegal Group Inc. ("DGI"), on medical leave of absence in his capacity as Chief Executive Officer from August 29, 2014 through the date of this Form 4 Report. Reporting Person is also President and a director of Donegal Mutual Insurance Company ("DMIC"), the holder of majority voting control of DGI, on medical leave of absence as Chief Executive Officer of DMIC from October 6, 2014 through the date of this Form 4 Report.