0000904454-12-000021.txt : 20120124 0000904454-12-000021.hdr.sgml : 20120124 20120124164501 ACCESSION NUMBER: 0000904454-12-000021 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20120124 DATE AS OF CHANGE: 20120124 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SAFETY INSURANCE GROUP INC CENTRAL INDEX KEY: 0001172052 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 134181699 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-78620 FILM NUMBER: 12542401 BUSINESS ADDRESS: STREET 1: 20 CUSTOM HOUSE STREET CITY: BOSTON STATE: MA ZIP: 02110 BUSINESS PHONE: 617-951-0600 MAIL ADDRESS: STREET 1: 20 CUSTOM HOUSE STREET CITY: BOSTON STATE: MA ZIP: 02110 FORMER COMPANY: FORMER CONFORMED NAME: SAFETY HOLDINGS INC DATE OF NAME CHANGE: 20020424 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SRB Corp CENTRAL INDEX KEY: 0001496228 IRS NUMBER: 042968130 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 695 ATLANTIC AVENUE CITY: BOSTON STATE: MA ZIP: 02111 BUSINESS PHONE: 617-457-7527 MAIL ADDRESS: STREET 1: 695 ATLANTIC AVENUE CITY: BOSTON STATE: MA ZIP: 02111 SC 13G/A 1 s13ga_012412-safetyinsgrp.htm AMD 1 TO SCHED 13G FOR SAFETY INSURANCE GROUP BY SRB CORPORATION s13ga_012412-safetyinsgrp.htm
 
 
 


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
 
SCHEDULE 13G
 
Under the Securities Exchange Act of 1934
(Amendment No. 1)
 
 
Safety Insurance Group, Inc.
(Name of Issuer)
 
 
Common Stock, par value $0.01
(Title of Class of Securities)
 
 
78648T100
(CUSIP Number)
 
 
December 31, 2011
(Date of Event Which Requires Filing of this Statement)


Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

o Rule 13d-1(b)
 
x Rule 13d-1(c)
 
o Rule 13d-1(d)

_______________________

*The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 
 
 
CUSIP No. 78648T100 Page 2 of 6 Pages


1
NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY):
 
SRB Corporation
04-2968130
 
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
 
 
(a) [ ]
(b) [ ]
3
SEC USE ONLY
 
 
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
 
Massachusetts
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
5
SOLE VOTING POWER
 
 
0
6
SHARED VOTING POWER
 
 
1,347,591*
7
SOLE DISPOSITIVE POWER
 
 
0
8
SHARED DISPOSITIVE POWER
 
 
1,347,591*
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
1,347,591*
10
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
 
 
[ ]
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
 
8.87% **
12
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
 
 
CO

* As of December 31, 2011.
** Based on 15,186,787 shares of Common Stock outstanding as of November 3, 2011, as reported in the Issuer's Report on Form 10-Q for the period ended September 30, 2011 filed with the Securities and Exchange Commission on November 8, 2011.

 
 
 
CUSIP No. 78648T100 Page 3 of 6 Pages


1
NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY):
 
The Plymouth Rock Company Incorporated
04-2773663
 
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
 
 
(a) [ ]
(b) [ ]
3
SEC USE ONLY
 
 
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
 
Massachusetts
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
5
SOLE VOTING POWER
 
 
0
6
SHARED VOTING POWER
 
 
431,060*
7
SOLE DISPOSITIVE POWER
 
 
0
8
SHARED DISPOSITIVE POWER
 
 
431,060*
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
431,060*
10
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
 
 
[ ]
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
 
2.84% **
12
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
 
 
CO

* As of December 31, 2011.
** Based on 15,186,787 shares of Common Stock outstanding as of November 3, 2011, as reported in the Issuer's Report on Form 10-Q for the period ended September 30, 2011 filed with the Securities and Exchange Commission on November 8, 2011.

 
 
 
CUSIP No. 78648T100 Page 4 of 6 Pages


1
NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY):
 
Palisades Safety and Insurance Association
22-3180609
 
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
 
 
(a) [ ]
(b) [ ]
3
SEC USE ONLY
 
 
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
 
New Jersey
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
5
SOLE VOTING POWER
 
 
0
6
SHARED VOTING POWER
 
 
916,531*
7
SOLE DISPOSITIVE POWER
 
 
0
8
SHARED DISPOSITIVE POWER
 
 
916,531*
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
916,531*
10
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
 
 
[ ]
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
 
6.04% **
12
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
 
 
OO

* As of December 31, 2011.
** Based on 15,186,787 shares of Common Stock outstanding as of November 3, 2011, as reported in the Issuer's Report on Form 10-Q for the period ended September 30, 2011 filed with the Securities and Exchange Commission on November 8, 2011.

 
 
 
CUSIP No. 78648T100 Page 5 of 6 Pages

Amendment No. 1 to Schedule 13G

Reference is hereby made to the statement on Schedule 13G filed on behalf of the Reporting Persons with the Securities and Exchange Commission (the "Commission") on March 25, 2011 (the "Schedule 13G").  Terms defined in the Schedule 13G are used herein as so defined.

The following Items of the Schedule 13G are hereby amended and restated as follows:

Item 4.     Ownership
 
The information set forth in Rows 5 through 11 of the cover pages to this Amendment No. 1 to Schedule 13G is incorporated herein by reference for each Reporting Person.
 

Item 5.     Ownership of Five Percent or Less of a Class

Not Applicable


 
 
 
CUSIP No. 78648T100 Page 6 of 6 Pages

SIGNATURE

After reasonable inquiry and to the best of their knowledge and belief, the undersigned certify that the information set forth in this statement is true, complete and correct.

Date:  January 24, 2012

 
SRB CORPORATION
 
 
By:
/s/ Frederick C. Childs
   
Name:    Frederick C. Childs
Title:      Vice President
 
 
THE PLYMOUTH ROCK COMPANY INCORPORATED
 
 
By:
/s/ Colleen M. Granahan
   
Name:    Colleen M. Granahan
Title:      Vice President
 
 
PALISADES SAFETY AND INSURANCE ASSOCIATION
 
By Plymouth Rock Management Company of New Jersey, its Attorney-in-Fact
 
 
By:
/s/ Carl A. Peterson
   
Name:    Carl A. Peterson
Title:      Chief Legal Officer & Secretary