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