SEC Form 5 · accession 0001209191-15-014631
AMERICAN NATIONAL INSURANCE CO /TX/ · ANAT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gordon Dennis Dixon
Officer — SVP, Stock/Bond Investments
Period of report
Dec 31, 2014
Accepted (ET)
Feb 17, 2015 · 5:25 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 Stock | Apr 29, 2014 | M | 600 | $100.46 | A | 445 | D | |
| Common Stock | Apr 29, 2014 | D | 600 | $112.77 | D | 445 | 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 RightF1,F2 | $100.46 | Apr 29, 2014 | M | 600 | D | May 1, 2006 | May 1, 2015 | Common Stock | 600 | 600 | D |
Explanation of responses
- F1SARs become exercisable in five equal annual installments beginning on the date shown.
- F2SARs 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
This Form 5 reflects a cash settlement of stock appreciation rights ("SARs"). The reporting person exercised 600 SARs with an exercise price of $100.46.