-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Oftf2aSTEPm1fXhNZWRJasFpoXZcp2GyzyAZgwoTIKgf6obGk7L2a4PUZZbU53VF IStFg0oLFyneja+oGq9jNQ== 0001193805-10-000483.txt : 20100212 0001193805-10-000483.hdr.sgml : 20100212 20100212161406 ACCESSION NUMBER: 0001193805-10-000483 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091231 FILED AS OF DATE: 20100212 DATE AS OF CHANGE: 20100212 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DEEKS TERENCE N CENTRAL INDEX KEY: 0001170862 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-15886 FILM NUMBER: 10599513 MAIL ADDRESS: STREET 1: C/O THE NAVIGATORS GROUP INC STREET 2: ONE PENN PLZ CITY: NEW YORK STATE: NY ZIP: 10119 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NAVIGATORS GROUP INC CENTRAL INDEX KEY: 0000793547 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 133138397 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE PENN PLAZA STREET 2: 55TH FL CITY: NEW YORK STATE: NY ZIP: 10119 BUSINESS PHONE: 2122442333 MAIL ADDRESS: STREET 1: ONE PENN PLAZA 55TH FL CITY: NEW YORK STATE: NY ZIP: 10119 5 1 e606462_ex.xml FORM 5 X0303 5 2009-12-31 0 0 0 0000793547 NAVIGATORS GROUP INC NAVG 0001170862 DEEKS TERENCE N C/O THE NAVIGATORS GROUP, INC. ONE PENN PLAZA NEW YORK NY 10119 0 0 1 0 Common Stock, par value $.10 per share 2009-02-27 5 G 0 45328 0 A 2461812 D Common Stock, par value $.10 per share 2009-02-27 5 G 0 13342 0 D 2461812 I See Footnote Common Stock, par value $.10 per share 2009-02-27 5 G 0 40028 0 D 2461812 I See Footnote Common Stock, par value $.10 per share 2009-02-27 5 G 0 1323564 0 D 2461812 I See Footnote Common Stock, par value $.10 per share 2009-10-16 5 G 0 961 0 D 2461812 I See Footnote Common Stock, par value $.10 per share 2009-12-31 5 G 0 423855 0 A 2461812 D Common Stock, par value $.10 per share 2009-12-31 5 G 0 362362 0 A 2461812 D Common Stock, par value $.10 per share 2009-12-31 5 G 0 407898 0 A 2461812 D Represents distribution in kind to the Reporting Person by the Terence N. Deeks 2006 Qualified Three Year Annuity Trust (the "2006 Trust"). Represents distribution in kind to the Jane Deeks McCarthy 1995 Trust by the 2006 Trust. Represents distribution in kind to the 2005 Deeks Declaration Children's Trust by the 2006 Trust. Represents gift by the Reporting Person to the Terence N. Deeks 2009 Qualified Three Year Annuity Trust (the "2009 Trust"). Represents gift to Johns Hopkins University (of Baltimore, Maryland). Represents distribution in kind to the Reporting Person by the 2009 Trust. Represents distribution in kind to the Reporting Person by the Terence N. Deeks 2008 Qualified Three Year Annuity Trust (the "2008 Trust"). Represents distribution in kind to the Reporting Person by the Terence N. Deeks 2007 Qualified Three Year Annuity Trust (the "2007 Trust"). Includes 1,186,855 shares held by the 2007 Trust, 2008 Trust and 2009 Trust (collectively the "Trusts"), as of December 31, 2009, of which the Reporting Person is the settlor, 75,842 shares owned jointly with the Reporting Person's wife, 1,194,115 shares held directly and 5,000 shares held by the Deeks Family Foundation (the "Foundation"). The Reporting Person disclaims beneficial ownership of the shares held by the Trusts and the Foundation except to the extent of his pecuniary interest therein. /s/ Terence N. Deeks 2010-02-10 -----END PRIVACY-ENHANCED MESSAGE-----