SEC Form 5 · accession 0000899243-17-003527
AMERICAN NATIONAL INSURANCE CO /TX/ · ANAT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James P Stelling
Officer — See Remarks
Period of report
Dec 31, 2016
Accepted (ET)
Feb 10, 2017 · 4:59 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000904163
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 9, 2016 | M | 200 | $116.48 | A | 103 | D | |
| Common StockF1 | Dec 9, 2016 | D | 200 | $131.17 | D | 103 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation RightF2,F3 | $116.48 | Dec 9, 2016 | M | 200 | D | May 1, 2009 | May 1, 2018 | Common Stock | 200 | 0 | D |
Explanation of responses
- F1The transaction reported herein reflects the exercise of stock appreciation rights for cash based on the spread between (i) the average of the high and low prices of the issuer's common stock on the date of exercise and (ii) the exercise price reported above.
- F2SARs become exercisable in five equal annual installments beginning on the date shown.
- F3SARs expire five years from the date they become exercisable. The date shown represents the expiration date of the final installment of SARs to become exercisable.
Remarks
SVP, Health Insurance Operations