0001106066-17-000013.txt : 20170809
0001106066-17-000013.hdr.sgml : 20170809
20170809195220
ACCESSION NUMBER: 0001106066-17-000013
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170809
FILED AS OF DATE: 20170809
DATE AS OF CHANGE: 20170809
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ATSINGER EDWARD G III
CENTRAL INDEX KEY: 0001106066
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-26497
FILM NUMBER: 171019410
MAIL ADDRESS:
STREET 1: 4880 SANTA ROSA RD
CITY: CAMARILLO
STATE: CA
ZIP: 93012
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SALEM MEDIA GROUP, INC. /DE/
CENTRAL INDEX KEY: 0001050606
STANDARD INDUSTRIAL CLASSIFICATION: RADIO BROADCASTING STATIONS [4832]
IRS NUMBER: 770121400
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4880 SANTA ROSA RD
CITY: CAMARILLO
STATE: CA
ZIP: 93012
BUSINESS PHONE: 8059870400
MAIL ADDRESS:
STREET 1: 4880 SANTA ROSA RD
CITY: CAMARILLO
STATE: CA
ZIP: 93012
FORMER COMPANY:
FORMER CONFORMED NAME: SALEM COMMUNICATIONS CORP /DE/
DATE OF NAME CHANGE: 19971201
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2017-08-09
0
0001050606
SALEM MEDIA GROUP, INC. /DE/
SALM
0001106066
ATSINGER EDWARD G III
4880 SANTA ROSA RD
CAMARILLO
CA
93012
1
1
1
0
Chief Executive Officer
Class A Common Stock
2017-08-09
4
A
0
33066
0
A
75620
D
Class A Common Stock
3211502
I
By Atsinger Family Trust
Class A Common Stock
1090078
I
By Ted Atsinger Irrevocable Trust
Class A Common Stock
25000
I
By Atsinger 1999 Charitable Remainder Trust
Restricted stock grant.
By Edward G. Atsinger III, as Trustee of the Atsinger Family Trust.
By Edward G. Atsinger III, as Trustee of the Ted Atsinger Irrevocable Trust for all purposes other than voting matters.
By Edward G. Atsinger III, as Trustee of the Atsinger 1999 Charitable Remainder Trust.
/s/Christopher J. Henderson, Attorney-in-fact for Edward G. Atsinger III pursuant to a continuing Power of Attorney
2017-08-09