SEC Form 4 · accession 0001017633-16-000002
Protective Insurance Corp · PTVCA / B
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas H Patrick
Director
Period of report
May 10, 2016
Accepted (ET)
May 11, 2016 · 4:37 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000009346
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class B CommonF2 | May 10, 2016 | A | 1,607 | — | A | 23,921 | D | |
| Class A Common | holding | — | — | — | 88,875 | D | ||
| Class B CommonF1 | holding | — | — | — | 236,862 | I | Owned by a private foundation |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares owned by the foundation were donated by the Reporting Person and his wife. Reporting Person is an officer and director of the foundation but has no pecuniary interest in the operations of the foundation and disclaims beneficial ownership of these shares.
- F2Shares represent restricted stock granted in lieu of certain cash director's fees. Restrict stock vests and is distributable on May 10, 2017.