0001209191-17-061477.txt : 20171117 0001209191-17-061477.hdr.sgml : 20171117 20171117162318 ACCESSION NUMBER: 0001209191-17-061477 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171117 FILED AS OF DATE: 20171117 DATE AS OF CHANGE: 20171117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ledbetter Reta Laurie CENTRAL INDEX KEY: 0001622625 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36712 FILM NUMBER: 171211248 MAIL ADDRESS: STREET 1: C/O STATE NATIONAL COMPANIES, INC. STREET 2: 1900 L. DON DODSON DRIVE CITY: BEDFORD STATE: TX ZIP: 76021 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ledbetter Terry Lee CENTRAL INDEX KEY: 0001622558 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36712 FILM NUMBER: 171211247 MAIL ADDRESS: STREET 1: C/O STATE NATIONAL COMPANIES, INC. STREET 2: 1900 L. DON DODSON DRIVE CITY: BEDFORD STATE: TX ZIP: 76021 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Terry Lee Ledbetter & Reta Laurie Ledbetter 2000 Revocable Trust, dated April 10, 2000, as amended CENTRAL INDEX KEY: 0001622624 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36712 FILM NUMBER: 171211246 BUSINESS ADDRESS: STREET 1: C/O STATE NATIONAL COMPANIES, INC. STREET 2: 1900 L. DON DODSON DRIVE CITY: BEDFORD STATE: TX ZIP: 76021 BUSINESS PHONE: 817-265-2000 MAIL ADDRESS: STREET 1: C/O STATE NATIONAL COMPANIES, INC. STREET 2: 1900 L. DON DODSON DRIVE CITY: BEDFORD STATE: TX ZIP: 76021 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: State National Companies, Inc. CENTRAL INDEX KEY: 0001610793 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 260017421 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1900 L. DON DODSON DRIVE CITY: BEDFORD STATE: TX ZIP: 76021 BUSINESS PHONE: (817) 265-2000 MAIL ADDRESS: STREET 1: 1900 L. DON DODSON DRIVE CITY: BEDFORD STATE: TX ZIP: 76021 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-11-17 1 0001610793 State National Companies, Inc. SNC 0001622625 Ledbetter Reta Laurie C/O STATE NATIONAL COMPANIES, INC. 1900 L. DON DODSON DRIVE BEDFORD TX 76021 0 0 1 0 0001622558 Ledbetter Terry Lee C/O STATE NATIONAL COMPANIES, INC. 1900 L. DON DODSON DRIVE BEDFORD TX 76021 1 1 1 0 Chief Executive Officer 0001622624 Terry Lee Ledbetter & Reta Laurie Ledbetter 2000 Revocable Trust, dated April 10, 2000, as amended C/O STATE NATIONAL COMPANIES, INC. 1900 L. DON DODSON DRIVE BEDFORD TX 76021 0 0 1 0 Common Stock 2017-11-17 4 D 0 4195582 21.00 D 0 I By Trust Common Stock 2017-11-17 4 D 0 346631 21.00 D 123266 D Common Stock 2017-11-17 4 D 0 123266 0.00 D 0 D Options 10.00 2017-11-17 4 D 0 1473333 11.00 D 2024-06-25 Common Stock 1473333 0 D Disposed of pursuant to the Agreement and Plan of Merger ("merger agreement"), dated as of July 26, 2017, by and among Issuer, Markel Corporation and Markelverick Corporation for a cash payment of the per share price noted. These shares are held directly by Terry Lee Ledbetter. In connection with the closing under the merger agreement, each option was cancelled in the merger in exchange for a cash payment of $16,206,663, representing the difference between $21.00 and the exercise price. The stock options vested in three equal annual installments beginning 06/25/2015. /s/ David M. Cleff, as Attorney in Fact for Reta Laurie Ledbetter 2017-11-17 /s/ David M. Cleff, as Attorney in Fact for Terry Lee Ledbetter 2017-11-17 /s/ David M. Cleff, as Attorney in Fact for Terry Lee Ledbetter and Reta Laurie Ledbetter in their capacity as co-trustees 2017-11-17