0001379041-22-000040.txt : 20220317 0001379041-22-000040.hdr.sgml : 20220317 20220317120718 ACCESSION NUMBER: 0001379041-22-000040 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220315 FILED AS OF DATE: 20220317 DATE AS OF CHANGE: 20220317 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: 22747442 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_164753322354352.xml FORM 4 X0306 4 2022-03-15 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 2022-03-15 4 F 0 728 40.54 D 20141 D Common Stock, par value $0.01 2022-03-15 4 A 0 5760 0 A 25901 D Represents restricted stock units that vest in four equal annual installments beginning on March 15, 2023 (subject to the reporting person's continued employment on such dates). /s/ Lori A. Brown, attorney in fact 2022-03-17