0001379041-21-000129.txt : 20210804 0001379041-21-000129.hdr.sgml : 20210804 20210804130021 ACCESSION NUMBER: 0001379041-21-000129 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210802 FILED AS OF DATE: 20210804 DATE AS OF CHANGE: 20210804 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shaw Jeffrey C CENTRAL INDEX KEY: 0001772845 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33245 FILM NUMBER: 211143235 MAIL ADDRESS: STREET 1: 10375 PROFESSIONAL CIRCLE CITY: RENO STATE: NV ZIP: 89521 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Employers Holdings, Inc. CENTRAL INDEX KEY: 0001379041 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 043850065 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 10375 PROFESSIONAL CIRCLE CITY: RENO STATE: NV ZIP: 89521 BUSINESS PHONE: 775-327-2936 MAIL ADDRESS: STREET 1: 10375 PROFESSIONAL CIRCLE CITY: RENO STATE: NV ZIP: 89521 4 1 wf-form4_162809640186624.xml FORM 4 X0306 4 2021-08-02 0 0001379041 Employers Holdings, Inc. EIG 0001772845 Shaw Jeffrey C 10375 PROFESSIONAL CIRCLE RENO NV 89521 0 1 0 0 EVP, Chief Information Officer Common Stock, par value $0.01 2021-08-02 4 A 0 2396 0 A 14198 D Represents restricted stock units that vest in four equal annual installments beginning on March 15, 2022 (subject to the reporting person's continued employment on such dates). /s/ Lori A. Brown, attorney in fact 2021-08-04