0001179110-21-002300.txt : 20210225 0001179110-21-002300.hdr.sgml : 20210225 20210225204455 ACCESSION NUMBER: 0001179110-21-002300 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210224 FILED AS OF DATE: 20210225 DATE AS OF CHANGE: 20210225 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRUSSARD DAVID F CENTRAL INDEX KEY: 0001214336 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50070 FILM NUMBER: 21683129 MAIL ADDRESS: STREET 1: 20 CUSTOM HOUSE STREET CITY: BOSTON STATE: MA ZIP: 02110 ISSUER: 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 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 4 1 edgar.xml FORM 4 - X0306 4 2021-02-24 0 0001172052 SAFETY INSURANCE GROUP INC SAFT 0001214336 BRUSSARD DAVID F 20 CUSTOM HOUSE STREET BOSTON MA 02110 1 0 0 0 Common Stock 2021-02-24 4 A 0 1000 0 A 1000 D Common Stock 355806 I See Footnote Represents restricted stock award effective February 24, 2021. Shares are owned by a trust of which the reporting person is a trustee. /s/David F. Brussard 2021-02-25