0001209191-17-010145.txt : 20170213
0001209191-17-010145.hdr.sgml : 20170213
20170213180433
ACCESSION NUMBER: 0001209191-17-010145
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161231
FILED AS OF DATE: 20170213
DATE AS OF CHANGE: 20170213
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: 400 ATLANTIC STREET
STREET 2: 8TH FLOOR
CITY: STAMFORD
STATE: CT
ZIP: 06901
BUSINESS PHONE: 203-905-6090
MAIL ADDRESS:
STREET 1: 400 ATLANTIC STREET
STREET 2: 8TH FLOOR
CITY: STAMFORD
STATE: CT
ZIP: 06901
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: 17601230
MAIL ADDRESS:
STREET 1: C/O THE NAVIGATORS GROUP INC
STREET 2: ONE PENN PLZ
CITY: NEW YORK
STATE: NY
ZIP: 10119
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2016-12-31
0
0
0
0000793547
NAVIGATORS GROUP INC
NAVG
0001170862
DEEKS TERENCE N
C/O THE NAVIGATORS GROUP, INC.
400 ATLANTIC STREET, 8TH FLOOR
STAMFORD
CT
06901
1
0
1
0
Common Stock par value $.10 per share
2016-03-18
5
G
0
55525
0.00
A
3715124
D
Common Stock par value $.10 per share
2016-03-18
5
G
0
244527
0.00
D
3715124
I
See Footnote
Common Stock par value $.10 per share
2016-04-27
5
G
0
714579
0.00
D
3715124
I
See Footnote
Common Stock par value $.10 per share
2016-12-16
5
G
0
5000
0.00
A
3715124
I
See Footnote
Common Stock par value $.10 per share
2016-12-31
5
G
0
157801
0.00
A
3715124
D
Common Stock par value $.10 per share
2016-12-31
5
G
0
179536
0.00
A
3715124
D
Common Stock par value $.10 per share
2016-12-31
5
G
0
117523
0.00
A
3715124
D
Represents distribution in kind to the Reporting Person by the Terence N. Deeks 2013 Qualified Three Year Annuity Trust (the "2013 Trust").
Represents distribution in kind by the 2013 Trust to trusts for the benefit of Reporting Person's children or grandchildren.
Includes 2,631,826 shares held by the 2014 Trust, 2015 Trust and 2016 Trust (collectively the "Trusts"), as of December 31, 2016, of which the Reporting Person is the settler, 56,400 shares owned jointly with the Reporting Person's wife, 975,898 shares held directly and 51,000 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 any pecuniary interest he may be deemed to hold therein.
Represents gift by the Reporting Person to the Terence N. Deeks 2016 Qualified Three Year Annuity Trust (the "2016 Trust").
Represents a gift to the Deeks Family Foundation (the "Foundation").
Represents distribution in kind to the Reporting Person by the Terence N. Deeks 2014 Qualified Three Year Annuity Trust (the "2014 Trust").
Represents distribution in kind to the Reporting Person by the Terence N. Deeks 2015 Qualified Three Year Annuity Trust (the "2015 Trust").
Represents distribution in kind to the Reporting Person by the 2016 Trust.
On December 6, 2016, the Board of Directors of the Issuer declared a stock dividend, payable to all holders of record of common stock on December 30, 2016, of one share of common stock for each share of common stock outstanding. As a result, the reported amount of securities beneficially owned includes 1,857,562 shares that the Reporting Person received on January 20, 2017.
/s/ Deepa Nayini, attorney-in-fact
2017-02-13