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