SEC Form 4 · accession 0001140361-16-063519
ATLANTIC AMERICAN CORP · AAME
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robin Robinson Howell
Director
Period of report
May 3, 2016
Accepted (ET)
May 5, 2016 · 1:48 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000008177
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | May 3, 2016 | A | 10,000 | $0.00 | A | 22,925 | D | |
| Common StockF1,F4 | May 3, 2016 | A | 10,000 | $0.00 | A | 723,635 | I | By Spouse |
| Common StockF2 | holding | — | — | — | 38,000 | I | Custodian For Children | |
| Common StockF3 | holding | — | — | — | 3,953,256 | I | Trust Beneficiary | |
| Common Stock | holding | — | — | — | 2,175 | I | By IRA Account | |
| Common StockF5 | holding | — | — | — | 168,200 | I | Trust F/B/O Children | |
| Common StockF6 | holding | — | — | — | 190,356 | I | Trust F/B/O Children |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents grant of restricted stock, which vests in full on May 1, 2017.
- F2Mrs. Howell disclaims beneficial ownership of all such shares.
- F3Beneficiary under trust holding shares for her benefit and over which her mother, Harriett J. Robinson, is trustee.
- F4Mrs. Howell has an indirect interest in the following shares of Common Stock owned by her husband, Hilton H. Howell, Jr.: 501,954 shares owned directly and 221,681 shares owned through his 401(k) plan. Mrs. Howell disclaims beneficial ownership of all such shares.
- F5Shares held in a trust for the benefit of Mrs. Howell's children and over which her mother serves as trustee. Mrs. Howell disclaims beneficial ownership of all such shares.
- F6Shares held in a trust for the benefit of Mrs. Howell's children and over which her mother serves as trustee. Mrs. Howell disclaims beneficial ownership of all such shares.