0001578735-21-000021.txt : 20210104
0001578735-21-000021.hdr.sgml : 20210104
20210104171329
ACCESSION NUMBER: 0001578735-21-000021
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210104
FILED AS OF DATE: 20210104
DATE AS OF CHANGE: 20210104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NICHOLS JOHN DRAKE
CENTRAL INDEX KEY: 0001256130
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36311
FILM NUMBER: 21502685
MAIL ADDRESS:
STREET 1: C/O AXIS CAPITAL HOLDINGS LIMITED
STREET 2: 92 PITTS BAY ROAD
CITY: PEMBROKE
STATE: D0
ZIP: HM 08
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: National General Holdings Corp.
CENTRAL INDEX KEY: 0001578735
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
IRS NUMBER: 271046208
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 59 MAIDEN LANE, 38TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10038
BUSINESS PHONE: 212-380-9500
MAIL ADDRESS:
STREET 1: 59 MAIDEN LANE, 38TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10038
4
1
wf-form4_160979839740872.xml
FORM 4
X0306
4
2021-01-04
0
0001578735
National General Holdings Corp.
NGHC
0001256130
NICHOLS JOHN DRAKE
C/O NGHC
59 MAIDEN LANE, 38TH FLOOR
NEW YORK
NY
10038
1
0
0
0
Common Stock, $.01 par value
2021-01-04
4
D
0
27500
0
D
0
D
Restricted Stock Units
2021-01-04
4
D
0
1500
0
D
Common Stock, $.01 par value
1500.0
0
D
Disposed of pursuant to the Agreement and Plan of Merger, dated as of July 7, 2020, by and among National General Holdings Corp., The Allstate Corporation, and Bluebird Acquisition Corp. (the "Merger Agreement") in exchange for $32.00 per share in cash (the "Merger Consideration") plus a special dividend of $2.50 per share (the "Special Dividend," and together with the Merger Consideration, the "Total Consideration").
When granted, each restricted stock unit represented a contingent right to receive one share of National General Holdings Corp.'s common stock.
Pursuant to the Merger Agreement, each outstanding restricted stock unit granted prior to July 7, 2020 was canceled in exchange for a cash payment equal to the Total Consideration of $34.50 multiplied by the number of shares of common stock underlying each such restricted stock unit, less any applicable withholding taxes.
On April 29, 2020, Mr. Nichols received restricted stock units subject to a one-year vesting schedule, vesting on the first anniversary of the grant date.
/s/ John D. Nichols
2021-01-04