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