SEC Form 4 · accession 0001251060-16-000014
DONEGAL GROUP INC · DGICA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donald H Nikolaus
Director · Other
Period of report
Dec 15, 2016
Accepted (ET)
Dec 19, 2016 · 2:32 pm EST
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 | holding | — | — | — | 113,229 | D | ||
| Class A Common Stock | holding | — | — | — | 188,867 | I | 401(k) Plan | |
| Class A Common Stock | holding | — | — | — | 16,366 | I | Spouse | |
| Class A Common Stock | holding | — | — | — | 166,369 | I | Family Foundation | |
| Class B Common Stock | holding | — | — | — | 130,210 | D | ||
| Class B Common Stock | holding | — | — | — | 51,802 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options | $16.48 | Dec 15, 2016 | A | 75,000 | A | Jul 1, 2017 | Dec 15, 2021 | Class A Common Stock | 75,000 | 75,000 | D |
Remarks
Reporting Person is Chairman of the Board of Donegal Group Inc. ("DGI"). Reporting Person is also, President, CEO and Chairman of the Board of Directors of Donegal Mutual Insurance Company, the holder of a majority control of DGI.