SEC Form 4 · accession 0000899243-17-006425
AMERICAN NATIONAL INSURANCE CO /TX/ · ANAT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James Parker Payne
Director
Period of report
Mar 1, 2017
Accepted (ET)
Mar 3, 2017 · 5:00 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 | Mar 1, 2017 | M | 250 | $0.00 | A | 437 | D | |
| Common StockF2 | Mar 1, 2017 | F | 63 | $123.84 | D | 375 | D | |
| Common StockF3 | Mar 1, 2017 | D | 63 | $123.84 | D | 312 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF4,F5 | — | Mar 1, 2017 | M | 250 | D | Mar 1, 2016 | Mar 1, 2018 | Common Stock | 250 | 250 | D |
Explanation of responses
- F1This transaction represents the settlement of vested restricted stock units in shares of common stock.
- F2Shares withheld at the election of Reporting Person to satisfy applicable tax obligations.
- F3The remaining shares were settled two-thirds in stock and one-third in cash based on the closing price of Issuer's common stock on March 1, 2017. For reporting purposes, such cash settlement is treated as a simultaneous acquisition and disposition of the underlying common stock.
- F4Each restricted stock unit represents a contingent right to receive, upon vesting, one share of Issuer's common stock or, at the election of the reporting person, cash in an amount equal to the closing price of such stock on the date of vesting.
- F5These restricted stock units vest in three equal annual installments, beginning March 1, 2016, or upon the reporting person's earlier retirement, death or disability.